Medical Benefit Specialty Management
Specialty therapies billed under the medical benefit are among the highest-cost and least-visible claims a payer faces. AscellaHealth pairs industry-leading solutions with strategic partnerships that allow clients to enhance patient clinical outcomes, optimize cost savings, increase efficiency and enhance specialty drug access.
Client and Member/Patient Portal
Log in to view coverage and recommended clinical criteria, copay information and resources designed to support treatment access.
Our Solutions
Comprehensive Patient Management and Support
Medical Specialty Fulfillment
Comprehensive management of provider-administered and infused specialty therapies — getting members the right treatment in the right setting.
Integrated Distribution and Care Model
Seamlessly connects specialty pharmacy, medical benefit drugs, and site of care strategies.
Redirection of High-Cost Claims
Redistributes claims to lower-cost Ambulatory Infusion Centers (AICs) and home-based care.
Smarter Utilization
Utilizes analytics and clinical oversight to identify opportunities, optimize therapy pathways, and improve outcomes.
Optimized End-to-End Care
Aligns payers, providers, and patients through dedicated patient care coordinators.
Comprehensive Savings Access
Accesses savings opportunities across specialty and medical benefit specialty drugs.
Medical Benefit Specialty Drug Rebates
Start with one drug or many, observe the cost savings as they accrue over time, and scale up your approach with confidence:
Rebate Access
Unlock access to 100+ medical pharmacy specialty drugs — no bundling required, no strings attached.
High-Impact Medications
Focus placed on high-impact medications for maximum financial optimization.
Transparent and Guaranteed
There's never any hidden fees, just predictable savings.
Patient Affordability
Manufacturer-sponsored programs make high-cost medications more affordable. AscellaHealth ensures access and helps patients reduce out-of-pocket costs.
Medical Specialty Formulary and Policies
AscellaHealth frequently updates medical specialty formularies and policies. Click below to access our medical specialty formulary and medical policy library for more information.
Lets Transform Healthcare—Together
At AscellaHealth, we believe that healthcare should work better for everyone—especially those who need it most. Through efficient management of high-cost therapies and hands-on care coordination, we help you lower costs while raising the standard of care.
