Embarc Benefit Protection®

Ensuring access to breakthrough gene therapy drugs while protecting plans and members from high costs.

woman embracing her young child

Affordable access to gene therapies

We are Evernorth®, the health services company creating a future without compromise. We understand the immense burden that high-cost gene therapies often place on your plan and the members you serve. 

We’re aligned, first and always with the people who need care the most, which is why we created Embarc Benefit Protection, a comprehensive program that offers patients with genetic conditions simple, affordable and predictable access to life-changing and potentially curative treatments.

health care provider comforting her patient
However, the high cost of these medications threaten access to those who may benefit most from these revolutionary therapies.

For protection beyond stop loss coverage, plans need a solution that shields them from high-cost gene therapy claims.

4x
increase in gene and cell therapy approvals is expected for 2024, rising to a 10x increase by 20271
$25B+

annual cost of gene therapies by the end of 2034 with more than 1 million patients receiving treatment2

A focus on affordable access to additional expensive treatments

Our pathway connects members with best-in-class care using innovative models that drive affordability.

Together with participating plans, we can:

Improve access to potential life-altering therapies

Connect members with best-in-class providers

Shield plans from price shock of expensive therapies 

Provide additional value through an annual surplus refund

Create cost predictability via a set per member per month price (PMPM) 

Protection beyond stop loss

Stop loss coverage acts like an insurance policy for your plan offering valuable protection against high-dollar claims. However, there are often high deductibles that need to be met and price increases that are applied to premiums when claims are filed.

Embarc Benefit Protection offers added protection with benefits that stop loss coverage doesn’t include, such as:

No out-of-pocket costs

Members and plans have no out-of-pocket costs for the therapy when Embarc criteria is met.*

One low PMPM rate

For one low PMPM rate, Embarc covers high-cost gene therapies that are sometimes lasered out of stop loss coverage.

Reliable rates

With Embarc, plans aren’t responsible for any up-front payments that require a reimbursement from the stop loss carrier. Unlike stop loss coverage, a plan’s PMPM rate does not increase when there is a claim.

Surplus payout eligibility

Even if claims are incurred throughout the year, plans may be eligible for a surplus payout at the end of the year.

How Embarc Benefit Protection works

Once plans enroll with a PMPM fee, when a member needs a drug that's included in Embarc Benefit Protection, their provider submits a request for the drug through their existing prior authorization process.

Upon approval, our exclusive in-network provider for gene therapy drugs, EviCore, arranges for the provision of the gene therapy drug and ensures the member gets the necessary treatment with no out-of-pocket cost for the medication.*

health care provider at her desk, checking mobile device

The future of Embarc Benefit Protection

As the market for gene therapies evolves, we will continue to explore new ways to effectively meet plan and member needs. Starting on January 1, 2025, Embarc Benefit Protection will include additional features:

Expanded inclusion
of gene therapies

from two in 2020 to an estimated nine by the end of 2024, with an anticipated 13-15 covered therapies by the end of 2025. We will continue to evaluate new gene therapies for inclusion as they emerge and receive FDA approval.

Expanded condition support

for prevalent indications like hemophilia and sickle cell, increasing the likelihood that a plan will have a member needing high-dollar drugs.

Removal of contractual limitations

on select gene therapies* previously with “new-to-plan” restrictions, expanding member access to gene therapies regardless of when plans enroll.

To support this exciting expansion of benefits, the PMPM fee will be adjusted to $1.25.

With the groundbreaking number of FDA approvals expected, it’s important to ensure your plan is protected from expensive claims that could affect your bottom line.

Even as the cost of these therapies continue to rise—averaging $850K in 2020 to $4M in 2024— Embarc Benefit Protection guards your plan from the high cost of gene therapy.

An estimated
nine
therapies will be included by the end of 2024 with 13-15 expected by the end of 2025

Proactive management strategy for gene therapy protection

As we continue to evaluate new gene therapies for inclusion in Embarc Benefit Protection, we remain focused on providing payers and their members with appropriate clinical and financial management for gene therapies as they come to market.

health care professionals meeting in a conference room
Explore more
Gene Therapies 101
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Gene therapies 101
February 12, 2020
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Uncovering behind-the-scenes challenges in bringing gene therapies to market
June 07, 2022
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Article
Gene therapies, today and tomorrow
April 12, 2024

Learn more about Embarc Benefit Protection® and make access to life-changing care a reality for your members.

Sources

  1. Cell & Gene, “2024’s Market Outlook for Cell & Gene Therapies”, 2024.
  2. National Bureau of Economic Research, “Estimating the financial impact of gene therapy in the U.S.”, 2021.

*Members with an HSA must have met the applicable minimum deductible required for a high deductible health plan.