The Savings Go Far Beyond the Price of the Pill

While most pharmacy benefit management programs rely on per-pill pricing appeal as the cornerstone of their program, Cypress Care avoids such subjective targets by tightly controlling all components of a pharmacy benefit program. Our approach yields far greater savings across the board, and offers greater support, flexibility, and reliability than do programs dependent entirely upon price, who lack the resources and experience necessary to truly manage a pharmacy program.

Cypress Care's unique service measures four quantifiable key elements in the pharmacy management program: Clinical Management and Utilization, Network Penetration, Injured Worker/Policy Holder Compliance, and Claims Administration Productivity Improvement. Demonstrating measurable expenditure savings demands more than just a basic re-pricing of pharmacy claims, a standard industry response that is analogous to treating a symptom and not the cause.

By breaking the management process into elements and treating each as a cost saving process, Cypress Care can offer immediate monetary benefits, but the true power of our program is its cascading flexibility, which makes it possible to identify, monitor, and adapt all four demonstrable elements that affect injured person's benefits as they apply to our clients.

Contact a Cypress Care representative to learn how we can assist your organization in meeting your pharmacy benefit management needs.

Clinical Management & Utilization

Our goal is to deliver the right medication to the right person at the right time. At Cypress Care, we ensure claimants are taking the proper medication and prevent inappropriate or non-compensable medication. By monitoring physician behavior and integrating physician reviews into the prior authorization process, we can ensure treatment plans are appropriate and address the needs of high dollar claimants all while maintaining our focus on cost savings for our customers.

Network Penetration

If your injured workers/policy holders are not participating in our pharmacy program, you are spending too much money. The average utilization rate for the industry is approximately 40%. Through the use of advanced technology and detailed proprietary processes, Cypress Care achieves over 80% network penetration across our entire client base. This results in a direct and significant reduction in your pharmacy expense.

Compliance

What you don’t pay for is just as important as what you do pay for. We drive compliance by leveraging detailed, customized drug coverage lists built specifically to address the unique needs of your business. The results: our program produces measurable savings that average 35% or more.

Productivity

We make work easier for your adjusters. The combination of our knowledgeable service representatives, medical professionals and our advanced technology dramatically decreases the number of problems overburdened adjusters must handle. This leads to less time on the telephone, more attention to critical claim details, shorter return-to-work cycles, improved case closure rates and less litigation.