Andy Reeves | OptiMed Health Partners

09/10/2019 41 min Episodio 54
Andy Reeves | OptiMed Health Partners

Listen "Andy Reeves | OptiMed Health Partners"

Episode Synopsis

Topics:

Specialty Drugs
Specialty Pharmacy vs. Retail Pharmacy
Pharmacy Benefits
Misaligned Incentives
Price Transparency 
Medication adherence versus compliance
Quality of care 
Cost Savings

In this episode, Michael introduces you to Andy Reeves, the Co-owner and CEO of OptiMed Specialty Pharmacy. Join us as we discuss how OptiMed Specialty Pharmacy is bringing transparency to the market and helping employers circumvent traditional specialty pharmacy distribution channels to lower costs.
Here’s a glance at what we discuss in this episode:

Andy’s experience as a clinical pharmacist and what motivated him to become an entrepreneur 
Key issues that are impacting our health care delivery system and how misaligned incentives are increasing costs  
How siloed health care impacts employer and employee costs
OptiMed seeks to harmonize health care for the consumer through integrated services to reduce overall costs 
How a specialty pharmacy differs from a retail pharmacy 
The difference between medication adherence and compliance 
How OptiMed addresses medication adherence 
How OptiMed engages employees as an alternative specialty pharmacy option
OptiMed offers an alternative distribution source to employers providing a more cost-effective option by charging a flat fee for their services 
Typical savings an employer might see when using OptiMed Specialty Pharmacy
How the acquisition cost + admin fee model that OptiMed uses differs from the traditional AWP Discount model + Rebate Model used by Traditional PBM’s and carriers
How to leverage an incentive copay structure to steer employees to utilizing OptiMed 
How OptiMed takes a proactive versus a reactive approach in redirecting employees at the point of care 
An example of egregious pricing for infusion drugs in a facility vs. the pricing that could have been achieved with OptiMed
Why stop loss and third party vendors are interested in programs like OptiMed 
How OptiMed functions as a liaison between the patient and providers to help patients with continuity of care and manage costs