One Connection, Endless Impact: Improving Patient Medication Access

Life sciences companies know starting or renewing a specialty medication can be overwhelming for patients. Coverage concerns, delays and inefficient systems can stand in the way of providing life-changing treatments to those who need them most. What if there was a streamlined way to simplify the benefits verification process and get patients on therapy faster?

Surescripts, the nation's leading health intelligence network, helps life sciences companies successfully get patients to therapy quickly with Electronic Benefit Verification. By establishing a direct API connection between life sciences companies and Surescripts, organizations can easily exchange data and tap into a wealth of patient benefit information, streamlining the intake and enrollment process for patient support programs.

How A Single Connection Leads to Improved Patient Access

Typically, patient support programs do not have easy access to a patient’s pharmacy benefits information. Finding out if a medication is covered involves phone calls, paperwork and educated guesses.

By integrating Electronic Benefit Verification, life sciences companies can:

• Access patient-specific benefit information: Case managers get real-time access to patient benefit data, including coverage details and out-of-pocket costs. No more spending hours or days hunting down information.
• Reduce administrative costs: Streamlined intake and enrollment can cut administrative costs. Not to mention, when manual processes are eliminated, the administrative burden on case managers is eased.
• Improve patient outcomes: Missing information and manual processes can stretch patient time to specialty therapy to seven weeks.¹ Starting or continuing patients on therapy faster can improve patient care.

What Only Surescripts Delivers

By partnering with Surescripts, life sciences companies can tap into a vast network of health plans and pharmacy benefit managers (PBMs) nationwide. Surescripts’ interoperable network enables secure access to patient benefit information for virtually every insured American.

Not only is the data comprehensive, it is accurate, making the information an invaluable resource for life sciences companies. By connecting case managers to pharmacy benefit information directly within existing workflows, data stays secure from end to end.

While electronic benefits verification is not new to the industry, most services depend on robocalls and faxes to get the information needed to verify and enroll a patient, adding delays to beginning or continuing a treatment.

The Power of a Direct Connection

Life sciences companies need innovative and truly electronic solutions to simplify patient access and improve patient care. Armed with a single, direct connection that drives better patient outcomes, life sciences companies can make a meaningful difference in the lives of patients.

Learn more about Surescripts Electronic Benefit Verification.

References

1. AssistRx, “The Intelligent Way to Initiate and Advance Specialty Therapies,” presented at Surescripts Specialty Medication Symposium, March 25, 2021.