[ad_1]
Waltz Well being, a digital search engine for prescription pricing and reimbursement, introduced its transfer into the Medicare market.
The Chicago-based firm will present well being plans supporting Medicare beneficiaries in accessing decrease prescription drug costs through its Market Search expertise, an AI-enabled search engine that well being organizations may give to their customers that makes use of knowledge from totally different drug low cost packages to search out lower-cost medicines.
Waltz will even provide well being plans with perception into treatment adherence tendencies.
The primary payer to make the most of Waltz’s tailor-made model of its Medicare-focused Market Search software shall be SCAN Well being Plan, a not-for-profit Medicare Benefit well being plan provider.
“Medicare Benefit represents one of many fastest-growing market segments in all of healthcare, so increasing to assist Medicare well being plans that wish to save members cash on their medicine was a pure enlargement for Waltz Well being,” Mark Thierer, CEO and cofounder of Waltz Well being, informed MobiHealthNews.
“These members typically have very tight budgets and may’t afford high-priced medicines, which generally is a enormous challenge after they enter protection gaps just like the ‘donut gap.’ In the event that they attain their protection limits and are pressured to pay out of pocket for prescriptions – particularly on name-brand medicine that may price a whole bunch of {dollars} – it might drive them to make arduous choices about whether or not to fill their prescriptions or not. Working with modern well being plans which might be captivated with discovering distinctive options, like our Market Search software, and fixing particular member ache factors is a testomony to the belief our staff is constructing out there.”
Thierer served as CEO of pharmacy profit supervisor OptumRx after UnitedHealth Group acquired fellow PBM Catamaran, the place he was chairman and CEO.
THE LARGER TREND
Waltz Well being launched in 2022 with $35.4 million in Sequence A funding. GV led its Sequence A spherical with participation from Outline Ventures, Echo Well being Ventures, Blue Enterprise Fund, Byers Capital, Twine Ventures and particular person healthcare govt buyers.
Different corporations trying to decrease prescription drug costs for customers embrace Mark Cuban Price Plus Drug Firm, drug price and telehealth firm GoodRx, Amazon and Transcarent, a healthcare platform for self-insured employers.
“Digital Twins in Healthcare: The Subsequent Stage in Medical Simulation” is scheduled for Tuesday, March 12, 4:15-5:15 p.m. ET, in W304A at HIMSS24 in Orlando. Be taught extra and register.
[ad_2]
Source_link