UPMC Health Plan Further Expands its Sempre Health Partnership to Better Serve Patients with Diabetes
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UPMC Health Plan and Sempre Health today announced the expansion of their highly successful medication adherence affordability collaboration to now include diabetes medicines. Launched in 2017, the program, which uses SMS messaging to provide discounts for cardiovascular medications, has saved participating UPMC Health Plan members more than $500,000, with the average member saving $33 per prescription refill. Based upon this success, UPMC Health Plan and Sempre Health are expanding the program to include diabetes medications for members of UPMC Health Plan’s fully insured employer group plans, as well as self-insured employer group plans that do not opt out of this coverage. Members eligible for the expansion program will be able to begin enrolling in November, just in time for National Diabetes Month.
“We are expanding this program to cover nearly all of our branded formulary preferred diabetes medications because we know that medications for chronic disease can sometimes place an ongoing financial burden on patients,” said Chronis Manolis RPh, chief pharmacy officer at UPMC Health Plan. “We’re excited to build upon the strong outcomes of this program to date. With this expansion of the program, members are empowered to drive down their costs and over time improve their health outcomes.”
In the US, nearly one-third of patients say they have not taken their medicine as prescribed due to costs – a bleak statistic especially given the impact that cost-related nonadherence can have on health outcomes.¹ Under this program, when participating members fill their eligible prescriptions on time, they will receive discounts on their copayments. Early results from the UPMC Health Plan and Sempre Health partnership show that this novel discount model results in significant improvement in member engagement and increased adherence to the medication.
During the first year of the UPMC Health Plan and Sempre Health partnership, the program successfully enrolled more than one-in-three eligible members and led to significant improvements in adherence versus a control group. Additionally, the natural language text reminders and conversations with members led to increased engagement by creating a personalized and concierge experience for those enrolled.
“Patients who consistently follow their doctor’s orders by filling their prescriptions on time and taking their medications as prescribed are rewarded with Sempre’s dynamic discounts on their copay -- amounting to a ‘good driver discount” for healthcare,’ said Anurati Mathur, CEO of Sempre Health. “Our growing partnership with UPMC Health Plan enables patients across Pennsylvania to share in the savings they generate when making healthy decisions. We’re excited to build upon our strong outcomes to date and further improve medication affordability and access for the UPMC Health Plan members who need us most.”
If you need more information, please contact your UPMC Health Plan representative. |
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