Where precision medicine meets precision risk financing
PayRx delivers on-demand risk coverage solutions and analytics for self-insured
employers and health plans to enable greater patient access to high cost advanced therapies.
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PRECISION MEDICINE
Precision medicine is Pharma’s future and it’s here today
DRUG PRICING
Median annual price for new U.S. drugs in 2022 is $257K, with some costing
more than $3M
CLAIM COST
The cost of a single claim can be financially devastating for patients,
employers and health plans
BUSINESS MODEL
The pharmaceutical industry business model is rapidly changing from
blockbusters to precision medicines such as cell and gene therapies
News and Updates
Orchard sets out to sell world’s priciest gene therapy
FDA approved a near record 55 innovative therapies and 5 gene therapies in 2023
First FDA-approved therapy utilizing CRISPR/Cas9 technology is approved for the treatment of sickle cell disease
AstraZeneca strikes $1 billion deal for Pfizer rare-disease gene therapies
Here's how we work for you
Making the unaffordable
affordable
We leverage data science, purpose-built technology and financial engineering to manage the budget-busting impact of high-cost advanced therapies in a unique way that is significantly more affordable while utilizing a value-based pricing model.
PayRx solutions are tailored, easy to implement, and provide greater benefits than traditional approaches
Solve for the challenges self-insured employers and health plans face
Unpredictable high-cost claims are putting a strain on resources and creating an uneven playing field for
payors. For many, the cost of a single event can be financially devastating. Unfortunately, existing
healthcare business models and other risk management products are not suited for this growing problem.
That’s where PayRx comes in.
PayRx offers solutions that enable all payors to monitor, plan for, and pay for the fast-growing world of
life-changing and curative treatments including cell and gene therapies.
Clinical and business intelligence
Powered by our data science and predictive analytics capabilities, we work
with health plans and employers to monitor, plan, and pay for high cost advanced therapies (HCAT)
- Delivers not just analytics, but more importantly, actionable insights
- Utilizes real world claims experience on costs, utilization, and outcomes
- Makes the previously unpredictable nature of HCAT claims more predictable
"The PayRx team took the time to understand me and my team’s needs, then provided a comprehensive solution that exceeded our expectations. It was clear the PayRx team possessed the breadth and depth necessary to understand the challenges we face in healthcare. The insights PayRx provided have significantly accelerated our strategies and, as a result, we are looking to the future for further engagements that will be shared across the greater organization."
"The recommendation of PayRx to my clients has helped them save money in addition to empowering them with tools and strategies to better navigate the complexities of large healthcare expenses. This proactive approach can lead to better financial flexibility and cash flow for my clients in the short and long term."
Raymond Tarr
Senior Director, US Commercial Diagnostic Strategy
Alexion Pharmaceuticals, Inc.
Tammeisha D. Smith
Insurance Consultant
Fairview Insurance