Sep 20 2012
Choice Strategies - a leading provider of consumer-directed
benefit programs - today launched RxAbility, an automated health
reimbursement account (HRA) solution that allows employers and employees
to share increasing out of pocket pharmacy costs.
RxAbility is a paperless, debit card-based solution that enables
employers to define customized cost sharing arrangements for Rx on a
transaction by transaction basis instantly at the point of sale.
"This new automatic debit card-based feature makes it easy for
employers to implement pharmacy cost sharing plans that strengthen
participant engagement, encourage responsible utilization and increase
plan satisfaction," said Nicole Williams, Senior Director, Choice
Strategies. "It's a solution that helps advance the goals of
consumer-driven healthcare for both employers and employees."
Unlike medical deductible expenses, which do not require upfront
payment, pharmacy expenses must be paid at point of sale. Until now,
employers seeking to help employees with a portion of their Rx expenses
have had limited options.
Traditional health debit cards have only given employers the
option to pay either 100 percent or zero percent of each Rx claim. While
partial pay plans are available through some HRA administrators, they
require employees to pay up front and then submit manual claims for
reimbursement of their employer's contribution. This can be a
significant financial burden and a source of frustration for employees
and often results in 'all or nothing' plans rather than cost sharing
arrangements where the employer pays a percentage of each Rx expense.
"Employers are increasingly offering consumer-directed health
plans (CDHPs) to their employees and need solutions that encourage
participation and increase satisfaction," said David R. Oscar, Managing
Member, Altigro Resource Group, LLC, a New Jersey-based insurance
agency. "Eliminating the need for participants to pay out of pocket at
the point of sale for pharmacy will make it easier and more attractive
to offer and participate in a CDHP with HRA and flexible spending
accounts (FSAs). This is a functionality the industry needs."
RxAbility can work with any carrier health plan and be customized
to match the financial goals and benefit needs of both small and large
employer groups. It can be implemented as a stand-alone HRA
solution that only pays for Rx instead of higher health plan premiums
for an Rx Rider or be paired with a high deductible health plan (HDHP)
with HRA for medical deductible expenses and employee-funded FSAs.
"RxAbility delivers automatic cost sharing at the point of sale
for pharmacy transactions regardless of how the plan is designed or
administered," said Williams. "It's a flexible solution that can provide
benefits to carriers, third-party administrators (TPAs), members and
participants."