Improving Access to Specialty Treatments and Care:

A Vital Priority for TPAs and Payors

Access to specialty treatments and care remains a critical concern for Third-Party Administrators (TPAs) and other payors. These advanced therapies often come with high costs and logistical challenges, creating significant barriers for patients in need. Golden Triangle Specialty Network (GTSN) is dedicated to addressing these challenges head-on, providing innovative solutions that enhance patient care while offering effective medical cost-containment solutions to our clients.

 

The Challenge of Lack of Access to Care

Specialty treatments, while life-saving and essential for many, come with their own set of hurdles. High costs, limited availability, and the need for specialized administration often get in the way. Patients can face significant financial burdens, and having to travel to outpatient facilities for treatment can disrupt their lives. This lack of access doesn’t just impact patient outcomes—it also puts a strain on TPAs, employers, and payors who are working hard to provide comprehensive, affordable care.

The lack of access to specialty treatments poses significant challenges for TPAs, payors, and employers, impacting them in several ways:

• Increased Financial Burden
  • High costs of specialty treatments can lead to substantial financial strain on TPAs, payors, and employers.
• Administrative Challenges
  • Managing complex and expensive treatments often requires additional administrative resources and effort.
• Reduced Employee Productivity
  • Employees needing to travel for treatment face disruptions in their work schedule, leading to decreased productivity.
• Higher Overall Healthcare Costs
  • Limited access can result in complications or worsening conditions, which ultimately increase overall healthcare expenses.
• Strained Relationships
  • The inability to provide necessary treatments can erode trust and satisfaction among employees and patients, affecting morale and retention.
• Insurance Premium Increases
  • The high cost of specialty treatments can lead to increased insurance premiums, affecting the affordability of healthcare plans for employers and employees alike.

Golden Triangle Specialty Network (GTSN) has a suite of solutions designed to overcome these barriers. GTSN’s approach combines cost management, seamless care coordination, and innovative treatment delivery to provide significant benefits for all stakeholders.

 

GTSN National Dialysis Network

Our National Dialysis Network has saved clients over $100 million since its inception. The program offers guaranteed secure savings, with assured discounts backed by provider sign-off. This proven cost management solution leverages over a decade of experience, consistently delivering significant savings through high-touch care coordination and meticulous case reviews.

 

GTRx Specialty Pharmacy Network

The GTRx Specialty Pharmacy Network is another cornerstone of GTSN’s offerings. By sourcing specialty medications directly and facilitating home infusion treatments where appropriate, GTRx saves clients up to 60% on J-code-associated medical spending. This program reduces financial strain and enhances the quality of life for patients by allowing them to receive treatment in the comfort of their homes. In short, we ship specialty drugs, anywhere, for a great price.

 

GTRx Gammagard Home Infusion Case Study Highlight

A prime example of GTSN’s impact is highlighted in the GTRx Gammagard Home Infusion case study:

• Significant Savings
  • The client saved over $15,000 every four weeks on Gammagard treatments.
• Direct Sourcing
  • GTRx Specialty Pharmacy Network sourced the medication directly, eliminating provider markups and reducing high distribution prices.
• Site-of-Care Infusion Services
  • Provided home infusion treatments, which minimized disruptions to employees’ daily lives and enhanced treatment adherence.

 

The Results of Better Access to Care

The benefits of improved access to specialty treatments are multifaceted. Patients experience enhanced care and improved quality of life, as treatments become more accessible and less disruptive. TPAs and payors benefit from significant cost savings, which can be reinvested into further improving patient care and coverage options.

Golden Triangle Specialty Network’s dedication to providing access to specialty treatments and care is transforming the healthcare landscape for TPAs and other payors. As the healthcare industry continues to evolve, GTSN remains at the forefront, delivering solutions that enhance patient outcomes and streamline operations for all stakeholders.

Learn more about our services by reaching out to Hy Byrd, COO: 615.712.6289