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Help patients access affordable care. Enhance your financial operations.
Our financial technology platform is designed to streamline the movement of funds within the healthcare ecosystem to benefit patients and their providers.
By offering technology-forward, people-focused support, we aim to help you advance your affordability programs, so patients can get and continue on the treatments they need to improve their health, and you can experience business and brand benefits like:
- Increased Rx pull-through: Reduce patient abandonment and friction at the point-of-fill due to high out-of-pocket costs and delays in therapy.
- Improved cash flow: Experience end-to-end control of the flow of funds using our proprietary platform.
- Reduced workflow barriers: Mitigate friction and risk by embedding our business rules engine within healthcare workflows.
- Enhanced insights: Better track the patient journey with our comprehensive data feeds and reporting.
Features and services
We support the patient journey by providing comprehensive pharmacy copay and medical claims reimbursement, enrollment, engagement services, eligibility, claims adjudication for pharmacy, and medical claims — all backed by robust data and reporting.
Maintain control and visibility of your patient affordability funds through final payment. Our funds management and payment processing support include features such as:
- Master funding account
- Patient, provider, and pharmacy designated sub-accounts for detailed tracking
- Distribution and management of funds per program design
- Omnichannel payment options
- Real-time, event driven funding capabilities
Dynamically address access barriers within the pharmacy workflow on a per-claim basis for designated pharmacy networks and address other features such as:
- High patient co-pay responsibility
- Pharmacy under-reimbursement
- Insured with access barriers
- Uninsured patients
- Credit memo option to improve cashflow for your brand
Enhancing affordable patient support programs in Canada
Our patient support team is comprised of nurse case managers, reimbursement specialists, and drug safety associates who provide dedicated support to patients enrolled in our programs. Our team members receive extensive training on specialty medications and the Canadian market access landscape to ensure patients have high-quality access to affordable therapies.
Solutions
Our expertise
A mid-sized biopharma company with an established portfolio and affordability program saw the following return five months after implementing our solution:
31%
increase in total prescriptions
43%
increase in covered claims
22%
decrease in unprofitable cash claims
Anonymous Biopharma Company, Prescription Claims Data, July 2019-March 2020, Date accessed 1 November 2022
