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Press Release

Priority Health makes prescriptions costs available, furthering transparency mission

Priority Health
Posted on: 29 Nov 17

Priority Health has integrated prescription costs into its Cost Estimator tool, as part of a continued effort to help members understand their health care costs.

To date, Priority Health is the only health plan in Michigan to provide one comprehensive experience with its transparency tool, offering cost information for health care procedures, services, and now, prescriptions. Members are able to understand what they will pay for a prescription and how they could pay less by switching to a lower priced alternative or opting for home delivery. Members can also view their prescription cost by pharmacy location.

“We understand that cost is an important factor in making health care decisions. Empowering members to know their cost will help them in making informed decisions about their care,” said Nathan Foco, senior director of market and sales intelligence for Priority Health. “We’re proud to offer a convenient, one-stop-shop for our members to gain access to cost information whether they’re at the doctor’s office, pharmacy or home.”

More than 6,000 prescriptions were added to Cost Estimator, from pills to liquids and creams. When a non-preferred medication is priced through the tool, members have the option to view more affordable alternatives. Results are also shown for home delivery, through Express Scripts, as well as the nearest pharmacies. Prices are broken down by pharmacy location, using the member’s benefits to determine their specific out-of-pocket cost.

“We expect to attract more members to Cost Estimator in search of prescription costs because pharmacy is our most frequently utilized benefit, with 80 percent of commercial members filling at least one prescription per year,” said Foco.

Cost Estimator launched in 2015, providing Priority Health members instant access to cost information by facility for hundreds of health care procedures based on their individual health plan. Utilization has steadily increased to 10 percent of commercial members currently using Cost Estimator, which exceeds the industry average of 2 percent1. Earlier this year, some of the most searched and billed procedures were added to Cost Estimator. Priority Health also announced in its first two inaugural years, the Cost Estimator resulted in shared savings in excess of $6.3 million.

Members can access the tool by logging into their MyHealth account, then choosing the Cost Estimator tile.

About Priority Health:

Priority Health is the second largest and fastest growing health plan in Michigan offering a broad portfolio of health benefit options for employer groups and individuals, including Medicare and Medicaid plans. With close to 800,000 members across Michigan, 1,200 employees and over 30 years in business, Priority Health continues to be recognized as a leader for quality, customer service and product innovation. Priority Health is focused on changing the way health care is delivered to make it more affordable and engaging members in their health to be healthy, get healthy and stay healthy.

1 Increasing Transparency Tool Effectiveness, Quantum Health

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Business Wire

Last updated on: 29/11/2017

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