Problem: Our client launched a new product in the U.S. market, but initial adoption rates were disappointingly low. Physicians, who were eager to incorporate this innovative product into their practice, hesitated to prescribe from the complexity of the reimbursement process.
Solution: To address these challenges, we deployed our digital hub portal to provide coverage and reimbursement support with our best-in-class benefits verification (eBV) and prior authorization (ePA) platform, ACTICS eAccess. By leveraging electronic connectivity with over 1,500 payers rather than algorithms, the hub accurately confirmed patients’ pharmacy and major medical benefits in minutes with just give data points. Additionally,
- Custom ePA forms allowed for higher acceptance rates on the first submission of requests.
- The portal offered real-time eBV responses for over 90% of verifications, supported by a dedicated team conducting manual verifications for payers that did not provide electronic responses.
- A guaranteed replacement program was implemented to provide physicians with confidence and mitigate utilization risks.
Result: The implementation of the digital hub portal led to increased HCP confidence surrounding reimbursement rates and earned a satisfaction rating of 9.1 out of 10. The portal drove strong adoption rates and enabled faster access to medication for HCPs.
Learn more about EVERSANA’s patient support programs or schedule a meeting with our experts.
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EVERSANA employs a team of over 6000 professionals across 20+ locations around the world. From industry-leading patient service and adherence support to global pricing and revenue management, our team informs the strategies that matter…