The shift in care toward outpatient settings has led to increasingly more complex coverage policies, spurring an even greater demand for transparency among payers.
To stay competitive, the leaders at a global provider of healthcare solutions and supplies needed to bolster their understanding of the coverage landscape, including insight into policy and restrictions data on products across multiple payers.
“Understanding cost information and getting a general idea of reimbursement is critical,” says the company’s director. “If a product isn’t covered on a payer policy, the reimbursement doesn’t matter because it’s going to be zero.”
After obtaining the right insights into payer policies, the company was able to take a more efficient, productive approach to account management. Read the full case study to learn how.