How Health Plans Can Control Pharmacy Risk
InsuranceThoughtLeadership.com • Tue Jun 30 2026
Rising specialty drug costs and regulatory pressures are pushing health plans toward marketplace-based pharmacy benefit models.
Rising specialty drug costs and regulatory pressures are pushing health plans toward marketplace-based pharmacy benefit models.
For health plan officers and financial leaders, pharmacy benefits have crossed a threshold. U.S. prescription drug spending surged to $915 billion in 2025 and is projected to exceed $1 trillion in 2026 — one of the fastest growth rates in two decades. Pharmacy benefits is no longer a cost category — it has become a material driver of financial volatility.
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About AscellaHealth
Healthcare today is more complex than ever—especially when it comes to therapies for people living with rare and chronic conditions. These high-cost, high-impact treatments account for only a small fraction of prescriptions, but they make up the largest and fastest-growing share of total drug spend. As a result, balancing affordability and quality of care remains a significant challenge.
We’re here to change that.
Because at AscellaHealth, we believe that all patients in need should have the ability to access life-changing therapies.
Our Core Beliefs
At AscellaHealth, patients are not just part of the process—they’re why we do what we do. Every solution we build and every partnership we form is designed with the patient in mind.
Patients First, Always.
Balancing Cost and Care.
Better Stakeholder Outcomes.