The power of partnership
Our Field Reimbursement professionals are trained to:
Reduce pending, delayed, and denied claims by training a provider’s staff
Remove barriers to access by educating providers on local and regional payer issues, coding changes, appropriate claim submission, and correct utilization of patient assistance programs
Improve Office of Inspector General (OIG) compliance by allowing sales representatives to focus on the clinical sell and not on reimbursement issues
Consult on policy or contract changes that might impact your product and what steps you can take to maintain or improve patient access
Develop and implement health policy strategies with core advocacy groups
Exposure modeling and benchmarking
Exposure modeling and benchmarking are critical steps to understanding the current market for your product and determining an estimated size of your patient support program. In partnership with Xcenda, we offer manufacturers insights gained from over 100 Patient Assistance Programs (PAPs), plus years of experience in benchmarking.
- With our proprietary exposure model, we identify the number of patients likely to be uninsured and underinsured at various income thresholds.
- Using multi-variant models, we explore how changes to coverage scenarios impact our patient assistance strategy, both at launch and over time.
- We monitor changes in healthcare reform and policy, making strategic recommendations to help manufacturers adapt their programs accordingly.