Leverage the industry expertise of FRMs to educate HCPs and their staff on the various aspects of reimbursement and coverage requirements for specialty therapies, thereby enhancing speed to treatment and improving patient outcomes.
The timeline for patients suffering with rare and orphan or specialty diseases to start therapy is critical, but the process can be daunting. FRM expertise is most necessary and valuable when payer policies, reimbursement, patient services, and care coordination are challenging or ambiguous for these therapies.
That’s where we can help. Our FRM reimbursement experts implement an efficient and compliant approach to speed up the time of treatment initiation. They serve as the liaisons of HCP and payer communications, alleviating administrative hurdles and prior authorization submissions and denials that HCP offices and patients face, and they partner with internal or external HUB providers and specialty pharmacies to expedite access.
We respond to the needs of our clients with patient-centric, quality solutions tailored to meet the specifications and needs at hand. To this end, we leverage our subject matter experts’ vast knowledge of the many complexities in specialty pharma along with their 20+ years of experience in rare and orphan drug patient support.
We provide:
You have the opportunity to scale up or down based on your current program needs and payer policy cycles.
Avoid the negative outcomes and headaches associated with the loss of productivity and separation/severance payouts.
Overcome negative impacts on internal culture and external perception during a team transition.
Assures HCPs that they will continue to be supported by a trusted
for launch, lifecycle, and Loss of Exclusivity (LOE) scenarios
to avoid inherent costs associated with downsizing due to changes in marketplace needs
on go-to-market FRM strategy and execution
to create meaningful and measurable KPIs and FRM performance standards
to appropriately empower FRM engagement
Our FRMs work to accelerate the beginning of a patient treatment plan by facilitating smooth and timely treatment onboarding.
To deliver on this, we provide:
Subject matter expertise in reimbursement and access
FRMs liaise to HCPs and their staff, educating on coverage requirements, providing payer communications, working to ensure the best possible submission for payer coverage and resolving any prior authorization denials until coverage is approved.
Payer intelligence
A closely connected payer landscape database platform serves as a digital storehouse for complex payer policies on local, regional and national levels which every FRM and case manager can view to ensure prior authorizations are submitted with robust data and alignment with the required details, and then follow patient progress to coverage in real time.
Support to key HCP office personnel
FRMs serve to support the office staff through onboarding, educating on all available patient support programs and resources, and collaborating and communicating with all appropriate client stakeholders.
With over 16 years of leadership experience in field access, Steve has successfully navigated the challenges of both start-up and large-size companies. Throughout his career, he has specialized in implementing effective Hub, FRM and Patient Access strategies, developing go-to-market models, and achieving launch excellence.
His expertise in this field has earned him recognition for his collaborative and innovative approach, as well as for his ability to align FRMs with broader commercial strategies.
Explore common questions and answers about building and managing high-performing Field Reimbursement Manager (FRM) teams. This comprehensive FAQ guide offers practical insights into the essential role FRMs play in navigating payer policies, enhancing patient access to treatments, and optimizing healthcare outcomes. Learn about the strategic value of FRMs, from guiding healthcare providers through reimbursement processes to improving patient treatment timelines. Explore now for valuable insights, or reach out to us for personalized assistance.
FRMs are instrumental in successfully navigating the complexities of the healthcare payer and policy landscape, ensuring patient access to essential treatments. Leveraging their industry expertise, FRMs can help guide offices through the insurance filing process including prior authorizations (PAs), appeals and other documentation requirements.
Additionally, FRMs collaborate with cross-functional teams to ensure strategic plans and executions are aligned with established account goals. FRMs enhance patient satisfaction and strengthen market access within the dynamic, ever-changing healthcare landscape.
FRM expertise is most necessary when payer policies, reimbursement, patient services, and care coordination are challenging or ambiguous. Inizio Engage FRMs can also be recruited to an existing team during times of increased demand such as reverification (A.K.A. “Blizzard Season”).
Patients and Healthcare Providers (HCPs) often face treatment delays due to administrative tasks. When HCPs are overwhelmed with paperwork, it limits the time for crucial care conversations and treatment execution. FRMs leverage their knowledge of local, regional and national payer policies to guide offices through the submission process while ensuring First Submission excellence, which improves approval rates & shortens time to treatment.
Our FRMs provide comprehensive education to HCPs and office staff on the most current coverage and reimbursement requirements, helping them navigate patient challenges with both new and established therapies. Equipped with first-class expertise on available patient programs and resources, FRMs offer valuable insights into specialty pharmacies and optimal sites of care for direct therapy treatment for rare diseases.
Inizio Engage FRMs bring diverse perspectives, knowledge, and resources to secure opportunities with greater agility and effectiveness. By bridging the gap between payers, providers, and patients, these skilled professionals strengthen your healthcare ecosystem, improving both organizational and patient experiences.
