^{Incentives in Action, a series from Prime Therapeutics (Prime), explores how aligned incentives to patient value can help make care and cost work as one. In each edition, learn about various challenges facing patients and the healthcare system and how Prime’s differentiated model connects clinical insight, benefit strategy and patient support to help improve access, outcomes and affordability.}

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Cancer care is advancing rapidly, with new and more personalized treatments bringing both promise and growing cost pressures — like a new pancreatic cancer therapy priced at nearly half a million dollars per patient annually. But even the most promising treatments can fall short when gaps among diagnosis, coverage, pharmacy access and ongoing support delay care, burden patients and add avoidable costs.

By coordinating clinical guidance, coverage and patient support throughout care, Prime aligns incentives around patient value, helping patients access the right care at the right time while reducing total cost of care. 

Through IntegratedRx^®, Prime helps make sure patients can access their critical medications and fosters better coordination among pharmacists, prescribers and the broader care team, which is especially important for people managing complex conditions. This enables earlier coordination, helps reduce treatment delays and supports patients from the point of clinical decision through treatment initiation and beyond.

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IntegratedRx by the numbers

• More than $150 million in total client savings through improved care coordination and reduced treatment delays 
• 9% reduction in total medical cost of care for oncology patients
• $5,758 estimated annual savings per oncology patient
• $23,100 estimated annual savings per cystic fibrosis patient

Learn how Prime delivers savings

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Incentive insights

“When prescribers and pharmacists don’t have a shared, real-time view of the patient, it can delay treatment, negatively impact adherence, and increase the risk of hospitalization or serious medical events. Our approach helps to ensure the care team is coordinated, which closes gaps in care and gets patients on therapy sooner.” — Steve Cutts, PharmD, Chief Clinical and Specialty Officer at Prime 

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How coordinated support helps patients

Patients feel the impact of integrated care solutions like IntegratedRx when they’re able to start the right treatment sooner, with better support throughout their journey. 

This is what it means to see the whole patient, not just the pharmacy claim.

Discover how integrated support helps patients with cystic fibrosis

Learn more about the rapidly changing treatment landscape

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Learn more 

Complex care does not happen in a single claim, a single benefit or a single moment. When incentives are aligned around patient value, health plans can bring clinical insight and pharmacy support together, helping patients move faster from a treatment decision to accessing the care they need.

See integrated care in action