Project Description

Accumulator Adjustment Programs:
What They Are, What They Are Not, and
How Should an Affected Health Plan Member Respond?

Rick Ford, Senior Director, Market Access


Pharmacy benefit managers have started to promote “co-pay accumulator” programs to health plan sponsors in an effort to reduce health plan spend. This white paper takes a deep dive into these programs and discusses how an affected brand and its patients should respond.

  • Review evidence proving the effectiveness of non-personal promotion, including virtual engagements

  • Examine the types of campaigns that have been deployed and their success rates

  • Describe the metrics—both used historically and those that can be used now—to evaluate program effectiveness

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