Infusion medications for autoimmune diseases and other chronic conditions can be life-changing—helping patients stay active, productive, and out of the hospital. But employer health care spending can skyrocket with just a few infusion claims.
Employers shouldn’t have to choose between controlling costs and providing high-quality support for their employees. Now celebrating its five-year anniversary, True Codes can deliver both.
Trusted by Employers for Five Years
Launched in 2020, True Codes has been transforming the way employers manage costly infusion claims for over five years. Backed by a 94% patient satisfaction rate, the program not only supports a great employee experience but delivers meaningful, measurable cost savings.
On average, clients save $33,000 annually per eligible patient, and last year alone, True Codes delivered over $5 million in total savings to participating employers.
How Does True Codes Work?
True Codes combines personalized care with a cost-saving approach through a specialized team of nurse navigators and clinical pharmacists.
- Treatment claims are shifted from the medical benefit to the pharmacy benefit, which significantly reduces costs.
- In some cases, True Rx identifies lower-cost, equally effective treatment options.
- The True Codes team works with the patient’s provider to help ensure treatments remain on schedule.
What are Average Savings with True Codes?
True Codes delivers impressive client savings, on average, after shared savings fee:
- $7,204 average savings per claim (40% cost savings)
- $33K average annual savings per eligible patient
- Up to $4 PMPM in overall plan savings
- Zero upfront cost for employers (shared savings model)
How Employers are Achieving Meaningful Results
One True Rx client faced soaring health care costs, driven by a single member receiving Soliris® infusions billed to the medical benefit. When the patient’s clinic refused to bill the pharmacy benefit for treatment cost savings, our nurse navigators stepped in with a smarter, more cost-effective solution. By transitioning the patient to an alternative infusion clinic, we saved over $15,000 per infusion, resulting in annual employer savings of more than $368,000 for that single patient — without delaying treatment.
Our team brings decades of experience with complex infusion therapies and a proven ability to solve challenges fast. We have personally visited clinics we work with to ensure they continue to meet our standards for quality and patient experience. That’s what sets True Codes apart. We don’t just manage care — we go the extra mile to make it better.”
- Tana Scott, Nurse Navigator Manager
What Can Patients Expect?
True Codes focuses on a small but high-impact group of patients—less than 1% of the population—who rely on high-cost infusion medications to manage serious, chronic conditions like rheumatoid arthritis, psoriatic arthritis, Crohn's disease, ulcerative colitis, and multiple sclerosis.
For patients who are impacted, True Rx ensures a seamless transition.
- True Codes often works in the background, with the nurse navigator coordinating with the provider directly, and the patient does not have to take any action.
- If action is needed, a True Rx nurse navigator reaches out to the patient and their provider to recommend the infusion center that best aligns with the patient’s benefit plan.
- The True Rx nurse navigator remains in contact with the patient to help ensure a smooth transition and prevent any treatment delays.
100% of surveyed patients said our nurse navigators took time to understand and address their care needs.
Start Saving and Experience Personalized Care with True Rx
Contact your Account Manager or email sales@truerx.com to explore how much you could save with True Codes.
Want to learn more about the Health Strategist difference? Check out our recent blog, Putting Care Back in Health Care, and discover how you can benefit from the True Experience.