Option Care Health Selected by Highmark as Preferred Provider of Hemophilia Treatment
19 Novembre 2019 - 8:14PM
Option Care Health, Inc., the nation’s largest independent provider
of home and alternate treatment site infusion therapy services, has
been chosen by Highmark health plan as a preferred provider of
factor drug products for the treatment and management of plan
members with hemophilia, beginning in January 2020.
A national leader in treating bleeding disorders, Option Care
Health provides specialized intravenous (IV) infusion of clotting
factors that control bleeding, which people with hemophilia are
missing. Option Care Health has access to all hemophilia factor
treatments, including those that are limited in distribution.
“Highmark chose to partner with Option Care Health because of
the extraordinary care we provide to patients as well as our
rigorous performance standards and ability to control drug waste
and costs while still delivering excellent outcomes,” said Rich
Denness, Chief Strategy Officer for Option Care Health. “The health
plan recognizes that we will provide their members who have been
diagnosed with hemophilia the highest-quality personalized care to
help manage this complex and challenging condition.”
Option Care Health’s Bleeding Disorders (BD) program features
care teams – including a patient benefit navigator – with special
Hemophilia Treatment Center (HTC) training to guide the patient
experience from referral through treatment. The Option Care Health
team, anchored by a dedicated BD-certified, HTC-experienced nurse
and pharmacist, work closely with the patient’s providers to
develop a personalized care plan that ensures the patient’s
treatment and therapy goals are aligned for successful disease
management. Patients and their physicians have access to Option
Care Health’s hotline offering 24/7 assistance from a dedicated
bleeding disorders clinician.
“Our Bleeding Disorders program will now align with Highmark’s
Hemophilia Member Care Program to streamline care of their
members,” said Leslie Hall, Vice President of Hematology and
Transplant Therapies for Option Care Health. “This partnership
reflects the shift away from a hands-off specialty pharmacy model
to the patient-centric model Option Care Health offers. We are
working closely with Highmark to ensure their members experience a
seamless transition.”
Highmark is an independent licensee of the Blue Cross Blue
Shield Association covering the insurance needs of 4.5 million
members in Pennsylvania. Highmark health plans have approximately
190 members who have been diagnosed with hemophilia, a genetic
disorder in which people are missing proteins that control
bleeding, called clotting factors. The company spends around $80
million annually on care for people with hemophilia, with about 90%
of that attributed to pharmacy costs.1 Without treatment, people
with hemophilia can experience life-threatening bleeding into
joints and large muscle groups that can damage internal organs and
tissues. They require lifelong treatment of IV infusions of drug
products containing their type of missing clotting
factor.
Option Care Health’s patient-centric BD clinical care program –
with close monitoring of bleeds and collaboration with providers to
optimize treatment dose – maximizes clinical outcomes while
controlling costs arising from hospital stays, emergency room
visits and factor usage.
Option Care (now Option Care Health) presented a study to the
World Federation of Hemophilia showing that 77 hemophilia A
patients receiving home infusion of factor VIII care through the
Option Care clinical program received fewer units per week (102 vs.
the national average of 108 units per week) with better bleed rate
outcomes. This translates into an annual cost savings of $1.6
million USD ($21,165 per patient). 2 Further, the annual bleed rate
for these patients was 1.7, less than the average annual bleed rate
that ranges from 2 to 5.3
Option Care Health was formed through the merger of Option Care
and BioScrip to create the largest independent home and alternate
site infusion service provider in the United States. This makes
Option Care Health the partner of choice for pharmaceutical
manufacturers requiring innovative distribution channel and patient
support models to access the market.
About Option Care Health
At Option Care Health, Inc. (Option Care Health) (NASDAQ: BIOS),
we are the largest independent home and alternate site infusion
services provider in the United States. With over 6,000
teammates including 2,900 clinicians, we work compassionately to
elevate standards of care for patients with acute and chronic
conditions in all 50 states. Through our clinical leadership,
expertise and national scale, Option Care Health is reimagining the
infusion care experience for patients, customers and employees. To
learn more, please visit our website
at OptionCareHealth.com.
Media Contact Information: Jonathan
Durrbeck312-558-1770 JDurrbeck@pcipr.com
- Highmark Inc. press release. Highmark Establishes
High-Performance Hemophilia Partnership. Nov. 19, 2019. Retrieved
from
https://www.highmark.com/hmk2/newsroom/2019/pr111919Hemophilia.shtml.
- Couden J, Schmidt K, Milenski K. Home Infusion Model Can Reduce
Factor Consumption. Poster presented at the World Federation of
Hemophilia 2016 World Congress, July 24-28, Orlando, Florida.
- Oldenburg J. Optimal treatment strategies for achievements and
limitations of current prophylactic regimens. Blood. 2015; 125(13):
2038-2044.
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