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Highlights: How Three Leading Providers Optimized Financial Assistance

The financial burden of care impacts patients' and providers' financial health. Three leading providers, Advocate Aurora Health, Moffitt Cancer Center, and a large health system, optimized their financial assistance programs with the help of technology. Go to the full publication

Streamlined, automated workflows
more patients assisted and matched with resources
More copay assistance secured + greater revenue capture

It’s no secret that medications are unaffordable in the U.S. The consequences are far-reaching for patients and the entire healthcare ecosystem. For patients, the financial burden of care leads to medication abandonment and nonadherence, resulting in worse treatment outcomes and the need for more extensive (and costly) care down the line. It also impacts providers’ bottom line and hinders their ability to create positive patient experiences.

The problem is obvious and yet financial assistance is underutilized. The reasons? Healthcare organizations’ financial assistance capabilities often lack:
• A centralized approach
• A comprehensive, disease-state agnostic program
• Defined business drivers
• Operational alignment

From a process standpoint, many financial navigation programs face obstacles to success, including:
• Manual, reactive workflows
• Inability to quantify results
• Limited, overburdened staff

The following case study highlights illustrate how integrated delivery networks (IDNs) can leverage technology to scale their programs—and maximize potential funding.

TailorMed’s automated program matching, streamlined enrollment support, and pre-built worklists helped to balance the team’s workload and immediately improve their efficiency. The platform’s centralized reporting capabilities also enabled the team to demonstrate institutional and patient benefit more meaningfully.

VP, Large Health System