Association Between Integrated Specialty Pharmacy Care Model and Pharmaceutical Access and Costs

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ID: 322467
2026
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Abstract
Abstract Introduction Healthcare consolidation in the United States has yielded mixed outcomes for patients, however, little is known about the impact of integration between insurers and specialty pharmacies. Through improved data and clinical integration, integrated specialty pharmacy care models may improve health care access and reduce costs for beneficiaries. However, this type of vertical integration may allow increased market power, which could lead to higher costs for beneficiaries. Methods Using [redacted] prescription claims, our cross-sectional study used adjusted regression analyses evaluating the association between the use of an integrated specialty pharmacy care model with pharmaceutical access and costs for beneficiaries managing complex specialty conditions in 2024. Results After adjusting for demographic and clinical characteristics, the integrated specialty pharmacy care model was associated with fewer days from prescription to fill (-5.7 days, 95% CI: : -6.7, -4.7), reduced yearly beneficiary pharmacy costs (-$106, 95% CI: -$163, -$49) and yearly beneficiary costs for the specialty drug (-$77, 95% CI: -$129, -$27) compared to non-integrated specialty pharmacies. We found additional benefits for beneficiaries who also used integrated primary care services. Conclusion Integrated specialty pharmacy care models may deliver faster and less costly pharmaceutical care for beneficiaries.
Reference Key
openalex_W7170196720 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Alexandra Glynn, Geronimo Bejarano, Insiya B. Poonawalla
Journal Health Affairs Scholar
Year 2026
DOI
10.1093/haschl/qxag192
URL
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