Reimbursement and Treatment Initiation
Impact product access and initiation by addressing all patient initiation barriers.
Many scripts never get filled, or they get abandoned after approval, or therapies don’t get used after delivery. Human Care Systems helps patients through all challenges that come up between the moment a prescription is written and when they take their first dose.
Facilitate access the new and efficient way
The number 1 barrier to treatment initiation is a patient’s ability to afford it. Gaining access shouldn’t be a lengthy process with lots of back and forth between several stakeholders.
Today’s brands should use technology to streamline and automate processes as much as possible. Our Resilix®platform provides Reimbursement Specialists, Case Managers, Field Reimbursement Managers, etc. with a single platform that supports each of their roles optimally.
Role based permission to read, write, and edit PHI ensures HIPAA compliant information sharing between roles, while case status updates are updated real time and visible for the field. In addition, the Resilix platform offers a payer plan resources database, ability to share any digital assets with clinics, and a complete overview of all enrollments and their statuses.
Customizable workflows and integrated ePA and eBI
The Resilix platform offers a configurable solution to support all patient services. The different workflows needed to support Benefits Investigations, Prior Authorizations, appeals processes and more can be set-up to match the unique needs for your product and company.
Integrations with electronic prior-authorization, electronic benefits investigation, and co-pay assistance tools and providers are all supported and available to build into your customizable workflows for appropriate follow-up steps and communications.
Set patients up for success
Human Care Systems’ Resilix platform supports all order fulfillment and reimbursement processes. But just as important, we recognize that waiting for access to a new therapy can be a difficult period for patients, which is why we support patients by setting expectations, providing education, and helping them stay motivated and engaged while they wait to begin therapy. When prescriptions are approved and delivered, we still don’t consider our job done.
We know that patient initiation is about more than facilitating access, it is about actually taking the first dose. We understand that even when the script is approved, even when the package is delivered from the SP, even when the injection training is given, a patient still may decide not to start.
Human Care Systems is there to guide people through this period by addressing any and all doubts they may have, explaining safe administration, discussing when to contact their doctor, and by building the right habits and routines to set patients up for success on treatment.
Address barriers with live and digital touches
From the very first call, our team of Treatment Experience Navigators delivers personalized initiation support through a combination of live and digital touches. Although they can transfer to Reimbursement Specialists, we find that having a Treatment Experience Nurse as the first point of contact can significantly boost initiation rates.
Our nurses have had thousands of patient conversations in the initiation phase, and have encountered every possible challenge that can come up during this uncertain period.
Whether is it handling financial barriers, worries about possible side effects, motivational issues, or misunderstandings about a drug’s administration, we acknowledge, normalize, and address these challenges, so that patients can start their therapy feeling confident and in charge.
Have questions? Contact us today!
Ask us how we can help you launch a Reimbursement and Treatment Initiation program effectively.