June 16, 2011
RxImpact was the industry's first value-based benefit. With RxImpact, drugs are organized by their ability to prevent a serious medical episode, and by the timeframe in which they affect a positive medical/financial result. All drugs in a class — antidepressants, proton-pump inhibitors, etc., both brand and generic — are categorized in the same group.
RxImpact has an allowance structure. For each group of drugs, the plan pays a specific allowance, and members pay the balance, if any. Because each group includes generic and brand-name drugs, members can save money by using lower-priced medications.
We've improved the RxImpact design to create a cost-base value proposition that translates to a 2 percent savings off total medical/pharmacy premium. Enhancements include:
Drugs that help avoid additional immediate health care costs (acute)
Examples: asthma, infection, birth control
Long-term effectiveness (chronic)
Examples: cancer, heart disease, Multiple Sclerosis
Examples: antihistamines, anti-inflammatory, antacids
Examples: sexual dysfunction, hair loss, obesity, smoking cessation
Contact your Humana Representative to see if RxImpact is a fit for your organization.