- UnitedHealth said on Monday that its OptumRx unit would offer a new pricing model starting next year to help manage insurers’ costs for drugs. The new model, Optum Rx Clear Trend Guarantee, will provide value-based pricing of drugs per member, combining the cost of these medicines from various sources such as retail pharmacy, home delivery, specialty drug, and rebates. Under value-based pricing models, insurers, pharmaceutical companies, and the middlemen, which include pharmacy benefit managers (PBMs) like OptumRx, agree to link payment for medicine to the overall outcome for patients. (Article here)
May 21, 2024
Payers | Tea Leaves