Topics covered within this infographic include how payors are likely aware that the incidence and cost of IBD are increasing but most of the spend for IBD is in the inpatient and emergency department.
In this downloadable infographic you’ll learn how several different tactics may be used as part of a drug use management strategy, the overall goal of which is to ensure appropriate medication use.
Learn about challenges and solutions related to transitions in health care coverage, non-medical switching, site of care concerns, and emerging treatments.
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“I have seen the influence of specialty society guidelines on payors’ decisions. Other than randomized clinical trials, specialty societies are the first place payors go to get more information.”
“I’ve often seen where a payor has the wrong contact information for the provider or perhaps the provider’s latest update says the approval is in ‘PA status’ and then somewhere in the timeline, it gets lost in the follow-up process. Patients are typically more aware of when prior authorizations aren’t going through due to immediate notifications and can oftentimes help do the follow-up work. Patients do tend to have more success with appeals when verbalizing the direct effects we are experiencing due to a delay in authorization. I believe having patients be able to do some of the follow-up allows for the opportunity for the patient to not only be proactive, but also not have to be sitting around waiting for an authorization to go through.”