Guide

Buy-and-bill 101

Understand the buy-and-bill model, how it works, and why it matters for specialty practices.

Guide 

Buy-and-bill 101: The basics

Explore the fundamentals of buy-and-bill, its connection to Medicare coverage, and key considerations for providers and patients.

Available in English only

What is buy-and-bill, and why does it matter?

Available in English only

The buy-and-bill model allows providers to purchase, store, and administer eligible specialty medications within their practice, then submit a claim for reimbursement to a third-party payer, such as Medicare, Medicaid, or a private insurer.

For many specialty practices, buy-and-bill supports greater control over medication access, administration, and reimbursement workflows.

When managed effectively, this model can help practices improve operational efficiency, respond more quickly to patient needs, and deliver a more connected experience at the point of care.

Disclaimer: Reimbursement and coverage outcomes may vary by payer, patient, product, and site of care. This information is for general informational purposes only and does not guarantee payment or financial results.

Available in English only

Benefits of the buy-and-bill model

Support continuity of care

Maintain greater visibility into patient treatment during in-office medication administration. 

Increase flexibility in care delivery

Respond more quickly to changes in a patient’s response to therapy and adjust treatment plans as needed. 

Strengthen practice operations

When managed effectively, buy-and-bill can support inventory control, reimbursement processes, and financial planning.

On-demand webinar

How to implement buy-and-bill in your practice

Explore the fundamentals of buy-and-bill and hear how practices can approach implementation with greater confidence. 
 

Complete the form to download the buy-and-bill 101 guide

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