A High-Tech Prescription to Improve Patient Access
Situation
D2 was engaged by a top international biopharmaceutical company to address a growing access issue for its market leading, multi-billion dollar injectable therapy.
The Manufacturer’s current HUB services infrastructure was built to support a Buy and Bill access model; however, for many reasons, providers were increasingly unwilling to use this channel, instead opting for a Specialty Pharmacy referral.
Providers using the SP referral model were operating outside of the HUB’s service model, causing a significant and growing “blind spot” in the Manufacturer’s access service model.
The Manufacturer needed a holistic solution, one that would service a Provider seeking to use Buy & Bill or SP referral.
D2's Approach
D2 began to define a new service model that would offer Providers a seamless access experience while keeping the HUB’s integrity as the System of Record.
Strategically, D2 knew the new solution would require “next gen” technology while maintaining the “high-touch” services offered by the HUB’s labor force.
After conducting a technology audit of the market, several best of breed companies were identified as having technology, e-services and transaction sets — that once combined — could deliver on the Manufacturer’s vision of a simplified, automated and seamless access experience.
The Solution
D2’s RFP process set the stage for a systematic, thorough and fair comparison of each company’s proposed solution.
Solution requirements included a new Provider-facing Portal capable of allowing the user to choose the desired workflow path (Buy and Bill or SP Referral), automate patient on-boarding workflows and deploy eBV, eBI and ePA transactions.
After several months of evaluation, VirMedica was chosen as the primary technology vender for several reasons:
Ability to provide a simple to use, yet robust Provider Portal capable of delivering a holistic self-service access model for Buy and Bill and SP Referral.
Having the industry’s most proven MedeBV transaction.
Ability to seamlessly connect to the HUB’s call center CRM system to power bi-directional communications and status updates.