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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Healthcare Payors are Struggling
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

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
FDA’s Peter Marks seems inclined to grant full approval to Sarepta’s Duchenne gene therapy
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.

Healthcare Payors are Struggling
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)

PayRx Financing Dashboard
  • 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

Precision medicine is Pharma’s future and it’s here today

Quick Facts

1 in 10

Americans suffer
from a rare disease

7,000

rare diseases

500

types of rare cancers

800

next-generation
biotherapeutics
in R&D

27

authorized gene and cell therapies as of Feb 2023
Learn how PayRx can help you address the challenge of high-cost advanced therapeutics 
Need more help?
Contact us

PayRx is the industry leader in delivering tailored, on-demand precision risk coverage solutions and analytics for self-insured employers and health plans to enable greater patient access to high-cost advanced therapies. We leverage data science, purpose-built technology and financial engineering to manage the cost impact of advanced therapies in a unique way that is significantly more affordable, flexible, and provides greater benefits.

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