While these figures provide a broad picture of what is happening in health care spending, it is important to drill down to the individual patient to understand what these rising costs mean to patient care. The underlying concern is that as the cost of care continues to escalate, barriers to quality care will increase accordingly, especially for patients with complex conditions. A major barrier obstructing access to care for many of these patients is the disconnect between medical benefits and pharmacy benefits. These 2 entities, which are critical to the health and welfare of the patient, operate independently with virtually no collaboration on behalf of the patient. Unless we start to think about medical and pharmacy benefits in a new way that puts patients’ needs first, population groups that are already underserved could have even more difficulty accessing care as costs increase.
Silos Inhibit Quality Care
There are inherent conflicts