THE BENEFITS FOR EMPLOYERS, HEALTH PLANS AND PLAN MEMBERS
Drug costs are on the rise and pharmaceutical treatments are not effective for many patients due to side effects, adverse reactions, and low compliance rates that result in poor outcomes.
Pillcheck provides a genetics-based medication response test that predicts how effectively medications work for an individual. We help benefit plans, advisors, and insurers lower health plan costs while helping plan members feel better, faster.
BROAD MEDICATION COVERAGE, BASED ON REGULATORY AND CLINICAL GUIDELINES
Genetic variants are estimated to affect between 20-95% of response variability, depending on the drug. Adverse drug reactions are estimated to cost almost $40 billion in North America per year.
Pillcheck covers over 60% of all prescriptions in areas such as Mental Health, Heart Disease, Digestive System, and Pain management – in fact over a dozen of the key treatment areas. The reports we provide are reviewed by clinical pharmacists, trained in pharmacogenetics, the science that Pillcheck is based on. The pharmacist is available to help the member make the recommended changes to medications.
Our list of medications is growing rapidly, as more regulatory and scientific information becomes available. And because a person’s genetics don’t change, we’re able to update a member’s report over time – to add value in the future and establish engagement long-term.
ROI AND COST-SAVINGS FOR PLANS
Pillcheck can be deployed effectively to different plan member segments within your organization. Our analytics team works with your budget and claims information to determine the best way to implement the program in your environment.
Targeted Member Deployment
Offering Pillcheck to members who are likely to benefit most – usually up to 30% of members – will typically result in 5% – 7% annual drug plan cost savings.
Pillcheck in Disability
Implementing Pillcheck in Disability Plans leads to reduction in risk and duration for cases (ranges are case-dependent) and has resulted in an 11x ROI.
Actionable, Personalized Results
Results from pharmacogenetic tests are only useful if they are understandable. The personalized Pillcheck report is designed and written in a manner that is easy to read. Included is a concise pharmacist’s letter summarizing the results for the doctor.
Proactive Medication Management
Pillcheck is critical to drug plan cost-containment, improved performance of disability management programs, and wellness initiatives. The Pillcheck-as-a-Benefit program demonstrated a 55% uptake by a unionized and non-unionized workforce when fully-covered.
Secure Data Sharing
Personal health information is not shared with employers or insurance companies. Clients are in control of their reports and choose who to share them with.
Precision Medicine for the Workplace
Genetic testing for medication effectiveness with services like Pillcheck is becoming much more common in health benefit plans. Our workflow tools and reporting make implementation easy for members, with a minimum of resources required from your benefits team.
WHAT DO PLANS AND PROVIDERS SAY ABOUT PILLCHECK?
“I think it’s a technology that’s here to stay…and it provides another valuable tool in the health armamentarium for our employees.”
Dr. Sol Sax, Consultant and Medical Director.