MedCity News May 16, 2022
Every health plan is required to use real-time benefit tools, which allow physicians to access drug pricing and a patient’s benefit information at the point of care. But, to date, RTBTs haven’t delivered on the promised savings.
Real-time benefit tools (RTBTs) held a lot of promise, so why haven’t they captured the market?
Ostensibly, RTBTs allow physicians to access drug pricing and a patient’s benefit information at the point of care, so they’re able to prescribe the lowest cost medication and avoid awkward, painful sticker shock at the pharmacy. This technology was mandated by the 21st Century Cures Act, which passed in 2016.
Every health plan must utilize an RTBT to connect to at least one health organization, which can...