For self-funded employers, specialty infusion is one of the fastest-growing and least transparent line items on a medical plan. Provider markups can exceed 400%, bundled into single claims with little visibility for the employer paying the bill.
This guide breaks down where the hidden costs live, and what a more transparent approach to specialty infusion spend could mean for your plan.
Inside, you'll learn:
- The conditions and high-cost drugs driving the bulk of infusion spend
- How provider markups get hidden inside a single bundled claim
- A real-world pricing example with a 56% reduction on a single claim
- How to address rising costs without disrupting care for your most vulnerable members
- What "great" looks like when it comes to infusion benefit design