What it’s good to know:

– Waltz Well being, a digital well being firm constructing smarter, technology-driven methods to cost, distribute and prescribe medicines, right now unveiled Waltz Join, a brand new end-to-end answer that manages all features of a payer’s specialty drug protection.

– It contains patented know-how, affected person engagement help and a uniquely dynamic market with a community of high-quality specialty pharmacies competing on value, service degree and scientific outcomes.

Waltz Join: Revolutionizing the specialty pharmacy with AI-driven transparency and effectivity

Waltz Join transforms specialty pharmacy administration by offering payers with unprecedented transparency, driving competitors amongst specialty pharmacies, and considerably lowering specialty drug prices. The platform improves the member expertise and well being outcomes by means of its adaptive design, permitting payers to implement it throughout their complete specialty drug plan, for particular drug courses, and even all the way down to particular person medicines. Constructed on Waltz Well being’s AI-powered Clever Specialty Engine, Waltz Join optimizes prescription routing to establish probably the most applicable specialty pharmacy based mostly on standards chosen by every payer.

Key highlights:

– Prices and Challenges of Specialty Medicine: The price of specialty medication has risen to greater than $300 billion per 12 months, a 40% improve lately, and now accounts for greater than half of all U.S. drug spending. The standard means of filling specialty medication is fraught with inefficiencies:

– Sufferers usually have to attend weeks for remedy.

– Pharmacies usually obtain prescriptions that they can’t fulfill.

– Payers make unnecessarily larger claims for similar medicines.

– Complete prices improve when cheaper pharmacy choices are missed.

– Environment friendly prescription routing: Waltz Join redesigns the prescription course of for larger effectivity and effectiveness. When a specialty prescription is submitted, whatever the community standing of the receiving pharmacy with the payer, the answer routes it to the optimum pharmacy based mostly on:

– The member's profit design.

– A weighted listing of traits (e.g., value, lead time, accuracy of execution, member expertise, compliance charges).

– Customizable options per drug class or particular medicines, making certain optimum pharmacy use with minimal friction.

– In depth Information Logging: Waltz Join captures important info to make sure a constant and seamless member expertise, together with:

– Details about the member's situation.

– Details about taking prescriptions on board.

– Contact particulars of the chosen pharmacy.

– Anticipated processing time and variety of refills.

– Payers profit from extra predictable costs, whereas members expertise fewer issues filling prescriptions.

Strategic partnerships and milestones:

– New Community Enlargement: Waltz Well being introduced that Reliance Rx has joined Waltz’s specialty community, offering payers with a high-quality, cost-efficient success possibility for generic specialty medicines.

– Enlargement and Affect: Over the previous 12 months, Waltz Well being has achieved important milestones, together with:

– Official entry into the payer, pharmaceutical profit supervisor and self-insured employer markets.

– Distinctive implementations of Market Search know-how with SCAN Well being Plan and a nationwide business well being plan.

– Applied Market Search in 4 nationwide pharmacy chains with 1000’s of places, leading to a median financial savings of $5 to $10 per prescription in comparison with different drug financial savings card options.

Waltz Join is a major step ahead within the pursuit of streamlined, cost-effective and patient-centric administration of specialty pharmacies.

“Our new strategy leverages fashionable know-how to deliver transparency, effectivity and suppleness to specialty advantages administration. For too lengthy, the opaque and archaic construction of the normal specialty drug provide chain has contributed to inefficiencies and misaligned incentives which have pushed up healthcare prices,” stated Mark Thierer, co-founder and CEO of Waltz Well being.