Benefit Advisors Group

Medication Under Management

A Patient Assistance Program

Medical costs are always a challenge for employers and a large part of that can come from the price of high-cost, specialty drugs. The CEA Benefits Program can help guarantee savings on those costs.

Putting the costs in perspective

High-Cost, Specialty drugs make up 44-55% of your plan's prescription drug expense
The average annual cost of a single high cost, specialty drug is $53,486

What is the Medication Under Management Program (MUM)?

MUM is a Patient Assistance Program
Has a direct relationship with specialty drug manufacturers with no middleman to produce the same medication at much reduced cost
Obtains special pricing on hundreds of high-cost drugs
The MUM Program Guarantees you will save 50% on your High-Cost, Specialty Drugs for Three Years
Uses technology that is constantly tracking and reporting to help reduce costs
Employees get the same medication they've always had, just at a lower price and no copay
MUM is an overlay on your PBM not a carve out

Let's look at some numbers

How can we get started?

It’s easy! All you have to do is send us your most recent 3 months of your drug utilization report and we’ll do the rest.

We will analyze your data and show you how much you will save on your health care plan's prescription drugs.

Our team deals directly with the manufacturer to procure the medication at a much lower cost.

Employees get the same medication that they’ve always had, just at a lower price and with no co-pays.

What does implementation looks like?

High-cost, Specialty Medications are identified and a dollar threshold is selected, such as $1,500, and all medications over that amount are subject to a non-clinical pre-authorization before being filled
The Summary Plan Document is updated to accommodate the program
Patients are contacted directly to determine eligibility

BENEFIT PLAN OPTIMIZATION SERVICES

Use advanced Medical Plan analytics to create robust optimization strategies to substantially reduce cost
Leverage leading edge technologies, created by Massachusetts Institute of Technology Professionals
Predict future healthcare spend by each employee rather than using traditional actuarial methods
Optimize your plan designs and achieve the best cost effective outcomes for you and your employees

DEPENDENT VERIFICATION SERVICES

On average, 5%-7% of dependents on your current benefit programs are ineligible and can represent up to 70% of your organization’s healthcare costs
Organizations that conduct dependent audits generate a $5,740,000 savings for a 2,000 Eligible employee group
Demonstrates fiduciary responsibility and reduces compliance risk
Provides fair treatment for all employees

BENEFITS COMMUNICATION SERVICES

Never a direct cost to CEA members or their employees
Clear presentation of all benefit information delivered directly to the employee
Alleviate the administrative burden of managing enrollment while ensuring that your employees make the best decisions about their rewards programs
Rely on consistent communication regardless of your employee’s location, shift or enrollment method

OUR SERVICES