MANUFACTURER SUPPORT PROGRAMS
Although our roots are forged in specialty pharmacy, AllCare Plus is not your typical specialty pharmacy.
Our senior leadership brings a diverse healthcare knowledge base incorporating a combined 60+ years in the specialty industry including manufacturer operations and specialty sales, healthcare IT, specialty pharmacy distribution & services and manufacturer reimbursement support services.
This tenure has equipped us with the expertise to build and maintain best in class programs across our portfolio of manufacturer services.
Whether launching a newly approved therapy or improving and redeploying an existing patient support program, AllCare Plus will work as your partner every step of the way.
Our pre-implementation team has worked extensively on rollouts for both small-scale orphan programs and large-scale HUB transitions with greater than 100 FTE’s.
For decades manufacturers have trusted AllCare Plus to provide exceptional support and oversight during one of the most critical time periods for their brand.
REIMBURSEMENT SUPPORT SERVICES
Removing all obstacles is critical to the success of your support program, especially when patients require complex medication regimens often requiring enhanced services. Our experience with specialty therapies allows our team to develop a customized reimbursement workflow that will provide superior operational efficiencies.
Our Reimbursement Services are instrumental in helping patients begin therapy quickly while simultaneously reducing patient abandonment once on therapy. Our programs and dedicated Care Managers have routinely outperformed the industry average for time to fill by leveraging our customized technology infrastructure. The Care Managers are proficient in working with payors to confirm coverage status, identifying potential barriers to access and coordinating care with specialty pharmacies.
Prior Authorization Support
Appeal Support
Pharmacy Benefits Investigations
Medical Benefits Investigations
Electronic Benefits Verifications
PATIENT ASSISTANCE PROGRAMS
Patient Assistance Programs provide access to free medication, to qualified uninsured or underinsured patients who would have otherwise gone without treatment. Facilitation of such programs requires a well-developed, streamlined process ensuring patient satisfaction, compliance with State and Federal regulations while limiting the administrative burden and costs to the program.
AllCare Plus Pharmacy has been delivering such programs for almost a decade with resounding success. Our Patient Assistance Programs reach past the standard PAP programs to numerous other forms of non-commercial dispensing such as Bridge, GAP, Urgent Initiation and Quick Start. No matter what size or what type of program, AllCare Plus will deliver a cost-effective solution to dispensing free drug.
Customized program support
Full service intake and eligibility determination
Technology enabled credit checks with electronic income verification
Alternative funding specialists
Adverse event reporting
REMS support
TECHNOLOGY
As a strategic partner, our goals are aligned with your goals, from faster access to therapy to minimizing operational inefficiencies. AllCare Plus has invested heavily in our technology infrastructure supporting a completely customized technology solution for each client by our in-house development team. Not relying on outsourced services allows our team to move rapidly for new or enhanced deployments.
Our infrastructure contains robust automation allowing for greater efficiencies to the standard reimbursement processes that a HUB program performs. Each client engagement begins with a new custom org that is designed to meet the specific needs of your program, providers, and therapy while enhancing the patient journey.
ADHERENCE SUPPORT
We believe there is no such thing as a one-size-fits-all adherence program. Our pre-implementation team will work with brands and our internal clinical team to understand the underlying factors contributing to non-compliance with your specific brand. From this information, our team will devise a multi-pronged adherence support program for your patients allow them to customize a number of items along the patient journey.
Our analytics team is able to digest and utilize dispense, refill and potentially copay assistance adjudication data to linearly track a patient’s adherence. The ability to track this data provides key metric’s in the performance of the enhanced adherence program while addressing areas of improvement.
Adherence Support Program Options:
Reminder text messaging – customizable frequency and messaging
Live Care Manager Calls – customizable frequency and messaging
Live Clinical Pharmacist Outreach – customizable frequency and messaging
Educational Mailings – customized based upon therapy attributes
COPAY ASSISTANCE
The ever-changing healthcare landscape needs not only a unique solution but a nimble provider that can easily transition with the market. As the regulations and channel partners continue to change the way they do business, manufacturers and copay vendors need to adapt. At AllCare Plus we have innovative solutions that will allow financial support programs for your patients and providers. Before launching a program, you must understand the barriers patients and providers are facing within their journey to obtain therapies. We work hand in hand with our manufacturing partners to provide insight and solutions we have in place to dissolve these barriers ultimately increasing patient adherence and satisfaction.
Our suite of Copay Assistance Solutions are flexible and scalable, providing multiple options for our patients, providers and manufacturing partners. Our programs have a variety of options that all include complex rules-based functionality. These business rules are highly configurable depending upon the brands specific needs.
The solutions we offer include:
Pharmacy Benefit, virtual program with unique identifiers for robust tracking and reconciliation.
Buy and Bill Support, merchant code lockdown, support wherever MasterCard is accepted.
Buy and Bill Support.
Enroll in Copay Support via web including mobile device optimization.
WHAT OUR CLIENTS ARE SAYING
We at AllCare Plus continue to impress our clients with the best quality of service in the marketplace. See what some of our clients are saying.
AllCare Plus has provided the best hub services I’ve ever had the pleasure of dealing with. My team is phenomenal and I couldn’t do my job without them! It is always a pleasure to speak and work with each and every person at AllCare, from Sr. Management down to the call center floor.
It’s always a pleasure dealing with the AllCare Plus team. I wish there were more programs out there who put their patients first like AllCare does.
Very impressed with AllCare Plus’ Hub Services! They continue to provide best in class service for our patients & providers and they’re always there when we need them. Keep up the good work AllCare Plus Pharmacy!