Sempre Health, the leading solution for behavior-based healthcare pricing, officially launched health plan partnerships today to empower consumers to lower their own medication costs. Sempre works with health plans and pharma manufacturers to dynamically adjust a patient’s co-payment based on individual adherence and behavior, seamlessly at the point of fill.
Current healthcare pricing is “one size fits all.” All people with a given health plan have the same deductibles and copayments, regardless of individual behaviors or specific clinical needs. At the same time, 1 in 3 patients has skipped or delayed medically necessary care because of cost. These patients go on to be less healthy and more expensive to the health system and its payers.
Building on momentum from graduating the Alchemist Accelerator and concluding a favorable randomized controlled trial in 2016, Sempre Health is now partnering with a large regional health plan. This Sempre program will enroll heart patients and engage them over SMS, using the principles of behavioral economics to incentivize healthy decision-making. Similar to a “good driver discount” with car insurance, if a patient is adherent and takes her medications regularly, she will pay less when filling her prescriptions. Patients can bring their own costs down over time, thereby supporting long-term behavior change and saving healthcare dollars, while addressing affordability in a unique way. Sempre’s technology parses millions of prescription records to predict the right price, for the right patient, at the right time. Then their data integrations deliver that price at any pharmacy in the US. Via SMS, patients have 24/7 access to their current discounts, why they got those discounts and guidance on how to improve their health.