Quantum Health expands specialty pharmacy services with new Premier Pharmacy navigation offering for employers

Quantum Health Expands Specialty Pharmacy Services with New Premier Pharmacy Navigation Offering

Healthcare navigation and care coordination company Quantum Health has announced the expansion of its specialty pharmacy services with a new Premier Pharmacy navigation offering targeted at employers.

The Premier Pharmacy offering utilizes the expertise of an in-house clinical pharmacy team to advise members on cost-effective care under their medical benefit, as well as guide them to cost-effective, clinically equivalent alternatives under their pharmacy benefit. This new offering is built on Quantum Health’s core navigation and existing specialty pharmacy capability, which serves over 500 self-insured employer clients and more than 3 million members.

The specialty pharmacy capability includes utilization management, a site-of-care program, and an in-house pharmacy services team consisting of doctors, pharmacists, and analysts. The care team collaborates with providers to direct members to curated options, ensuring that treatment is optimized clinically and financially through a tailored educational process.

With prescription medications being the fastest-growing component within employee health benefits, the rise of specialty drugs presents a challenge for employers and their employees. Quantum Health’s navigation platform has shown a 91% success rate in shifting the site of care for members’ specialty drug treatment, according to a recent study.

The expansion of specialty pharmacy services is part of a larger trend in the healthcare industry, with companies like Walgreens and Elevance Health also focusing on enhancing their specialty pharmacy offerings. Elevance Health’s new analytics tool aims to help employers plan for future specialty pharmacy costs while providing advocacy to employees who use specialty medications.

As the demand for specialty medications continues to grow due to the increasing prevalence of chronic diseases, employers are looking for innovative solutions to manage drug costs and provide quality care to their employees. Quantum Health’s Premier Pharmacy navigation offering is a step in the right direction towards achieving these goals.