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Specialty Pharmacy Use Case: Improving Assistance to Decrease Abandonment and Enhance Patient Experience

Patients with chronic conditions face significant obstacles when it comes to affording high-cost specialty treatments. A large specialty pharmacy had a system in place to connect patients with critical resources, yet the program was hindered by manual, labor-intensive processes. The pharmacy implemented a technology solution to optimize financial assistance, enabling its team to reach more patients in need, decrease prescription abandonment, and improve patient experience. Go to the full publication

110,000+ patients in active treatment
18+ full-time Patient Financial Specialists
Process
Seamless assistance workflows across teams
Reach
More patients assisted and matched with resources
Results
Decreased cost-related abandonment + increased revenue and fill rates

One of the nation’s largest specialty pharmacies strives to help patients manage the financial burden of care. Its team of Patient Financial Specialists (PFS) actively works with 501c3 foundations as well as pharmaceutical manufacturers to help patients secure the resources they need. The organization also has its own internal hardship program for select disease states and diagnoses.

The team utilized a manual, time-consuming process to connect patients with financial assistance. As a result, overburdened staff were unable to maximize available funding, resulting in prescription abandonment and leakage. The pharmacy implemented the TailorMed platform enabled the team to proactively flag patients in need and swiftly match them with available funding. TailorMed's Express Enroll solution empowered team members to expedite enrollment in manufacturer copay assistance.

This tech-powered approach provided:
• Seamless data integration
• Faster, simpler program enrollment (60% time savings per application for Express Enroll brands)
• Optimized workflows
• Business analytics and visibility into end-to-assistance processes

When relevant foundation funds open, TailorMed provides real-time alerts to the pharmacy team for all patients who qualify. The team can then enroll those patients in foundation funds and bring them back onto service, so that the organization is fully reimbursed, and the patient can affordably receive their vital treatment.