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Outcomes & Return On Investment
Focused on outcomes, THM programs use appropriate combinations of physician, pharmacist, and member intervention to inform, educate and monitor in order to enable and encourage appropriate use of medications to achieve optimal outcomes.
Because the foundation is strong – state-of-the-art informatics, evidence based medical policy, network innovation and management, high quality standards – THM programs are effective. One key result is health care cost savings, listed in the chart below.
Pharmacy Care Management Programs
| Hepatitis C Pharmacy Management | $2,020 claims savings per intervened member |
| Poly Pharmacy Management | $520 claims savings per intervened member |
| Specialty Pharmacy Management | $560 claims savings per intervened member |
Medical Care Management
| Emergency Room Care Management | $790 claims savings per intervened member |
| Migraine Care Management | $1,150 claims savings per intervened member |
| Transplant Case Management | $102,500 claims savings per intervened member |
| Complex and Catastrophic Case Management | $30,300 claims savings per intervened member |
| Chronic Disease Management | $2.30 saving for each $1.00 invested |
* Savings are representative of various timeframes and various methodologies. All values are approximate.
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Page Modified:February 13, 2008