Accredo

Accredo Health Group, Inc.

Type| Subsidiary
Industry| Health care
Predecessor| Southern Health Systems
Founded| 1996; 30 years ago (1996)
Headquarters|

Memphis, Tennessee

U.S.

Parent| Express Scripts
Website| www.accredo.com

Accredo Health Group, Inc. is a specialty pharmaceutical and service provider for patients with complex and chronic health conditions.[1] Accredo provides specialty drugs, drugs that cost more than $600 per month, with the average being $10,000 a month, which treat serious conditions such as multiple sclerosis, rheumatoid arthritis, hemophilia and cancer.[1] It is a wholly owned subsidiary of Express Scripts and is headquartered in Memphis, Tennessee.[2][3]

## Contents

* 1 History
* 2 Services
* 3 Criticism
* 4 References
* 5 External links

## History

In 1980s Memphis, Tennessee, the Le Bonheur Children's Medical Center formed two companies to distribute drugs to the American Southeast, Nova Factor and Southern Health Systems (SHS). SHS specialized in hormone and clotting drugs for children.[1] Accredo Health, Inc. was incorporated in 1996 to acquire both businesses. Soon thereafter, it acquired Hemophilia Health Services (HHS). In 1999, Accredo filed its initial public offering and became a public company, trading on Nasdaq under the ticker "ACDO".[4][5] In 2004, Medco Health Solutions allied with Accredo Health to form a specialty pharmacy. In June of that year, Accredo's wholly owned subsidiary HHS acquired Hemophilia Resources of America.[6] In August the following year, Medco acquired Accredo and it became a wholly owned subsidiary of the company.[3] In 2012, Express Scripts acquired Medco, making Accredo a wholly owned subsidiary of Express Scripts.[7][8] As a result, Accredo merged with CuraScript SP Specialty Pharmacy, operating under its current name.[1]

## Services

Accredo offers "Therapeutic Resource Centers" (TRCs) for specialty conditions, such as asthma, cystic fibrosis, HIV, multiple sclerosis and rheumatoid arthritis.[9] In partnership with Eviti, Inc., an oncology TRC includes decision support tools for physicians and patients.[10] It is broken up into subdivisions for types of cancer to provide drug-specific support.[1] The purpose of the teams is to provide specialty drugs, ensure dosage is correct for each patient, and encourage drug compliance to reduce waste and costs for all parties.[10][11][12] Side effect management is an important part of TRCs, as they are a large contributor to patients not complying with their drug regimens. Pharmacists and nurses also provide patient counseling and education.[12]

The company's Clinical Day Supply program addresses patient noncompliance with oral oncology drug regimens. To reduce waste as well as to monitor patient drug tolerance, Accredo gave only a half fill of prescription medications, then performed a clinical assessment to monitor patient drug tolerance and help ensure that patients do not take unnecessary or ineffective drugs. With the program, treatment options can also be reexamined if the drugs are working, but side effects are hindering quality of life.[11]

## Criticism

Accredo is not accredited by the Better Business Bureau,[13] and has received class action lawsuits over Accredo's poor patient ethics and failure to provide basic services.[14][15][16] A 2019 investigation by Olga Khazan in The Atlantic documented how Accredo and other specialty pharmacies harm patients in their efforts to cut costs as they delay sending medications for weeks and, at times, months.[17]

## References

1. ↑ 1.0 1.1 1.2 1.3 1.4 Sells, Toby (January 31, 2013). "Signs point to Accredo surviving the Express Scripts takeover of Medco". The Commercial Appeal. http://www.commercialappeal.com/business/signs-point-to-accredo-surviving-the-express-of. Retrieved December 3, 2014.
2. ↑ Lytle, Tamara (March 1, 2014). "Soaring Specialty Drug Costs Require HR Response". Society for Human Resource Management 59 (3). http://www.shrm.org/Publications/hrmagazine/EditorialContent/2014/0314/Pages/0314-specialty-drugs.aspx. Retrieved December 3, 2014.
3. ↑ 3.0 3.1 Hollahan, Terry (March 28, 2014). "Some Investments Have a Shelf Life". Memphis Business Journal (American City Business Journals). http://www.bizjournals.com/memphis/print-edition/2014/03/28/some-investments-have-a-shelf-life.html?page=all. Retrieved December 3, 2014.
4. ↑ "Accredo Health Announces IPO". Memphis Business Journal (American City Business Journals). April 16, 1999. http://www.bizjournals.com/memphis/stories/1999/04/12/daily12.html. Retrieved December 3, 2014.
5. ↑ "Accredo Health Inc (ACDO)". http://www.nasdaq.com/markets/ipos/company/accredo-health-inc-7590-4282. Retrieved December 3, 2014.
6. ↑ "Accredo to buy HRA Holding". Memphis Business Journal (American City Business Journals). July 4, 2004. https://www.bizjournals.com/memphis/stories/2004/05/31/daily27.html.
7. ↑ Reed Abelson; Natasha Singer (April 2, 2012). "F.T.C. Approves Merger of 2 of the Biggest Pharmacy Benefit Managers". The New York Times. https://www.nytimes.com/2012/04/03/business/ftc-approves-merger-of-express-scripts-and-medco.html?_r=0. Retrieved December 3, 2014.
8. ↑ Nunnery, Nash (May 10, 2012). "10 Best Places to Work: Gilberts Home Health". Mississippi Business Journal.
9. ↑ "Patient Care". https://www.accredo.com/pharma/patient-care.
10. ↑ 10.0 10.1 Davis, Warren (2014). "Waste and Missed Opportunities Drive Costs Upward". Clinical Advances in Hematology & Oncology (Millennium Medical Publishing) 12 (1): 65. https://www.hematologyandoncology.net/archives/january-2014/why-are-cancer-drugs-so-costly/.
11. ↑ 11.0 11.1 Mohanty, Monalisa; Cast, Kevin (August 8, 2013). "Cancer Patients Require Coordinated Care". Pharmacy Times 4 (4). https://www.pharmacytimes.com/view/cancer-patients-require-coordinated-care. Retrieved December 3, 2014.
12. ↑ 12.0 12.1 Benesh, Peter (April 12, 2010). "If it's the Only Cure, It's Going to Cost You: Specialty Drugs Grow Rise in Health Care Costs Spurred by Treatment for Scare Conditions". Investor's Business Daily.
13. ↑ "Accredo Health Group, Inc." (in en). https://www.bbb.org/us/in/indianapolis/profile/medical-equipment/accredo-health-group-inc-0382-90017149.
14. ↑ "Manhattan U.S. Attorney Announces $60 Million Civil Fraud Settlement With Accredo Health Group Over Kickback Scheme Involving Prescription Drug". May 1, 2015. https://oig.hhs.gov/fraud/enforcement/manhattan-us-attorney-announces-60-million-civil-fraud-settlement-with-accredo-health-group-over-kickback-scheme-involving-prescription-drug/.
15. ↑ "In re Accredo Health, Inc. Securities Litigation". https://www.blbglaw.com/cases-investigations/accredo-health-inc.
16. ↑ "A.G. Schneiderman Announces $375,000 Settlement With Specialty Pharmacy Over Failure To Provide Basic Services". Attorney General of New York (Press release). March 22, 2018. Archived from the original on August 6, 2020. Retrieved April 17, 2024.
17. ↑ Khazan, Olga (April 9, 2019). "Invisible Middlemen Are Slowing Down American Health Care" (in en). https://www.theatlantic.com/health/archive/2019/04/pbms-health-care-drug-delays-prices/586711/.

## External links

* Official website

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