Helping patients gain access to prescribed specialty therapies is a highly manual and time-consuming process for the healthcare industry. Whether support is given from a specialty pharmacy, pharmaceutical patient support program (i.e., a hub), or a hospital system, each has the same goal — to overcome the administrative and financial barriers keeping the patient from therapy. Gaining access to specialty medications requires navigating multiple complex pathways, including determining insurance coverage options, co-pay amounts, the patient’s total cost of therapy, prior authorizations, and appeals. Obstacles along each path can lead to increased turnaround time and drive script abandonment.
As organizations seek solutions to streamline the process and get medications to patients faster, several questions are commonly asked: