Maximize patient access at every stage of the product lifecycle.
Clients count on our reimbursement and health policy expertise to develop strategies that adapt to the changing payer environment and ensure appropriate patient access. Whether it’s designing provider tools that break down complex billing and coding, or educating provider offices on how to proactively position for legislative and regulatory updates, AmerisourceBergen's RPI team has the knowledge, experience, and client service skills to create and implement effective strategies for success.
Patient and Provider Access Strategy
Build a comprehensive reimbursement and launch strategy
Payer Segmentation
Know where to focus payer communications for optimized access
Avoid the J-code black hole
Compendia Strategy
Develop a compendia strategy to guide coverage decisions
Our approach includes:
- Compendia Benchmarking Analysis
- Benchmarking Analysis
- Gap Analysis
- Submission Package
- Surveillance
- Payer Utilization and Trends Analysis
Develop the knowledge - and share it
Reimbursement Training
Gain deeper understanding into how reimbursement affects all stakeholders, from patients and providers to payers and manufacturers. AmerisourceBergen develops and facilitates a training curriculum that is driven by the roles and responsibilities of each audience. Every engagement is customized to fit the client's product, disease state, learning objectives, audience, and training modality.
Receive training on a wide array of topics, including:
- Healthcare coding, coverage, and payment
- Managed care fundamentals and trends
- Value-based payment and quality initiatives
- Medicare and Medicaid
- Health policy and healthcare reform
- Practice efficiency
- Payer contracting and private payer trends
- Manufacturer-sponsored patient support programs
- Distribution channels (MCOs, PBMs, GPOs, hospitals, specialty pharmacies)
- 340B
Reimbursement Tools
Building on our reimbursement and access landscape expertise, AmerisourceBergen develops robust tools to support physician offices, hospitals, pharmacies, and others throughout the care continuum. Whether helping staff order products, submit optimized claims, or better facilitate patient assistance, we design user-friendly, easy-to-understand guidance materials. Our reimbursement experts work seamlessly with creative specialists to develop digital and printed tools designed to drive greater patient access to care.
Develop materials that make a difference:
- Billing guides
- Flashcards, tip sheets, and brochures
- Enrollment forms
- Launch toolkits
- Digital tools
- Sample claim forms
- Videos
- Hub branding
