Every day there are patients who are diagnosed with an illness that requires access to expensive specialty medications. These patients discuss treatment options with their providers only to be faced with delays in filling the prescription at their specialty pharmacy. These delays can be a matter of days or weeks but to patients just diagnosed with an illness that requires treatment it feels like a lifetime.
The complex enrollment process for patients to gain access to specialty medications is broken. Today healthcare providers must navigate a manual process involving a back and forth paper-phone-fax process with a specialty pharmacy or manufacturer reimbursement hub. This process typically requires a healthcare provider to complete paper enrollment forms, which differ from pharmacy to pharmacy, and include the following information: prescriber information and signatures, patient-specific demographic and insurance information, patient consent, along with comprehensive clinical and medication history. Incomplete information and illegible handwriting often require a phone call to the providers office to gain more information or clarification. The process results in a time-consuming administrative burden for providers, delays in therapy for patients, and frustration for all involved.
As the fastest growing segment of the industry, it is critical that specialty pharmacies employ new ways to get patients on their therapies more quickly to improve health outcomes. Health systems, providers, and payers need to create “frictionless” solutions around the patient journey. Key to this process is efficient patient enrollment. RxLightning has developed a solution to simplify and automate the specialty enrollment process for providers and help speed patients to therapy.
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