Embedded and buy-up cancer care solutions for ASO groups help support employees’ care journey and contain costs

October 22, 2024

According to a survey of large employers, cancer is the top health care cost driver,¹ and spending on cancer medicines alone is projected to grow 14% annually through 2027.² And while the number of new cases for all cancers keeps rising,³ the numbers don’t account for the indirect costs of lost productivity and patient economic burden, which greatly increase the total costs of the disease.

Cancer patients can have complex care needs, and studies show that failing to meet those needs results in poorer outcomes and higher costs. That’s why we offer a comprehensive approach to cancer care—one that provides members the support they need throughout their cancer care journey and helps contain costs for members and employers. Please help make sure all your groups are aware of the following embedded plan features, and urge your ASO groups to consider the optional services available to them.

Embedded patient support features and programs:

• Preventive screening campaigns
• Palliative care
• Medical and behavioral care advocate support
• National Cancer Institute-designated cancer centers
• Healthwise cancer educational resources
• Emotional support, social determinants of health resources and wellness program
• Navigation services
• High-touch care ambassador support
• Medical meal service discounts

Embedded cost containment programs:

• Evidence-based clinical pathway guidance
• Advanced utilization management

Embedded integrated pharmacy programs:

• Biosimilar prescription drug program
• Rx Coupon Accumulator program
• IntegratedRx—Oncology

Optional patient support buy-up services:

• Expert second medical opinion
• Targeted behavioral health support for chronic and serious conditions
• Advice24 nurse triage
• Medical and behavioral telehealth
• Enhanced Care Management

Optional cost containment buy-up services:

• Advanced imaging authorization
• Stop-loss

Optional pharmacy services:

• Copay assistance
• Infusion drug site of care
• Enhanced medication support

In addition to helping and supporting your employees throughout their cancer journey, many of these programs can also support their chronic conditions and other care needs.

To learn more about how we support employees facing cancer and other complex illnesses, view our ASO Optional Offerings brochure and contact your Asuris account representative today.

¹2023 Large Employers’ Health Care Strategy and Plan Design Survey; Business Group on Health, August 23, 2022

²2023 Cancer Market Trends, Advisory Board based on CDC United States Cancer Statistics database

³Journal of Clinical Oncology 36, no. 5 (February 10, 2018) 476-482

IntegratedRx is a Prime Therapeutics program. Prime Therapeutics is a separate company that provides pharmacy benefit management services.