Shields Health Solutions (SHS) recently partnered with Optum Advisory Services to evaluate the impact of the SHS integrated specialty pharmacy model on total costs of care for Medicare Advantage patients.
SHS’s integrated specialty pharmacy (SP) model reduces total health care costs measured on a per member per month (PMPM) basis.
Optum proprietary de-identified Normative Health Information claims database was used to identify patients enrolled in Medicare Advantage and pharmacy insurance coverage in 2018 and 2019. To be included in the data set, patients had to fill at least one self-administered specialty prescription in 2018. Patients were assigned to groups
