The Challenge
Improve accessibility to infusion treatment in the home
Specialty medications, many of which are infused therapies, now account for 50% of drug spend and are expected to continue to grow at a rapid pace as 65% of new launches will be specialty therapies.1 However, with up to 90% cost differential by site of care, the launch of new biosimilars, and expansion of oncology therapies delivered in the home, expanded home infusion access and an active management strategy can help control costs.2 Members with short-term acute infusion needs, such as parenteral nutrition, or an anti-infective, can lead to longer hospital stays if an alternative site of care is not utilized. Repeated travel to facility locations, and lengthy treatment times can also make it complicated for members with chronic conditions. CareCentrix uses efficiencies and a national provider network to safely relocate therapies to the home and lower cost savings.
Program Results
Our Approach
When clinically appropriate, CareCentrix can coordinate the transition of infusion therapy to the home. We have a comprehensive solution for non-hospital based infusions including home and Ambulatory Infusion Suites (AIS) covering over 60 specialty and non-specialty care therapies, 500+ drugs, including biosimilars and generics.
We leverage HomeBridge®, our provider care coordination platform, to manage the pathway of care, including the delivery of specialty medications, the timing of treatments, and patient progress monitoring. We coordinate a network of home infusion providers who engage with patients and caregivers to educate and support their infusion treatment, and consult and advise on treatment options with the treating physician — all to drive better care coordination and guaranteed savings for health plans.
Our Advanced Home Infusion Therapy Program enhances the value of infusion at home and through management of high-cost specialty drugs, specialized provider networks, and more cost-effective alternative treatments.
623,000
Over 623,000 infusion home services coordinated in 20213
The CareCentrix Value
CareCentrix is a comprehensive solution for home infusion therapy. We provide guaranteed savings, a national home infusion provider network, facilitate reporting to the client, track and report adverse events, ongoing patient monitoring and physician support. Additionally, we actively track and manage drug pipeline activity to support a health plan’s guidelines development.
623,000
Over 623,000 infusion home services coordinated in 20213