Our Quality of Care is a Testament to Our Training
Leading the way in the industry with best in class patient support services.
CareQuality Program
Our CareQuality program is the driving force behind our entire organization. The CareQuality Team is responsible for customizing the quality measures used to analyze and benchmark employee’s specific roles and responsibilities.What makes us different?
Our CareQuality program has been built from the ground up and allows us to easily focus on both manufacturer driven and in-house quality identified initiatives.
Live call monitoring
- Quality Analysts can listen to any call, in real time
The criteria being measured include, but are not limited to:
- Productivity scores
- Peer to peer assessment
- Empathy
- Teamwork
Side-by-side shadowing
- Working hand in hand with the employee in their day-to-day operations
Monthly Scorecards
- Our Quality Team reviews calls, Benefits Investigations, and case management to ensure our employees are following the correct process while maintaining our standards of excellence
Brand Specific Workshops & Lectures
- AllCare Access Services holds monthly workshops & lectures to ensure the best quality of care throughout our manufacturer programs
CareTraining Program
One of our core principals and differentiators is our continuous training program. Our curriculum is devised based upon tenure in an individual’s role and segmented into 3 phases: initial training, program specific training and on-going training. We believe that training and education should be continuous throughout employment at AllCare.Ongoing Training
Through our CareTraining team, we can pinpoint areas of development with our employees and tailor ongoing trainings based on areas of improvement. In addition to those tailored trainings, AllCare also holds yearly company-wide Customer Service training.
1st Phase Training/Initial Training
- HR Training & Compliance
- Introduction to AllCare’s mission, values, and expectations of roles
- Employees receive vast foundation knowledge on the fundamentals of reimbursement in a classroom setting
2nd Phase Training/Program Specific Training
- The second phase of training is specific to the program scope of work
- Employees learn about the program offerings which include: services being offered, product overview and package insert review, disease state overview, patient demographics, and client company culture.
- Employees learn, review and are tested on approved program Standard Operating Procedures (SOP’s)
- Introduction to CRM via sandbox training environment
3rd Phase Training/Ongoing Training
- Continuous job & program specific training based upon quality scores and observations
- New corporate policies and procedures
- New program specific SOP’s
- Mentoring within their department & company-wide to further career aspirations
Core Services
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.
Electronic Prior Authorization Support
Appeal Support
Electronic 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 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.
Standard Pharmacy Hours: Monday – Friday 8:00 AM to 6:00 PM
Customized Pharmacy Hours available to meet your program needs.
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
PROPRIETARY TECHNOLOGY SOLUTIONS
As a strategic partner, our goals are aligned with your goals, from faster access to therapy to minimizing operational inefficiencies. AllCare 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 collaborate with you to devise an adherence support program that will fit the needs of your specific patient population and journey on therapy.
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
FINANCIAL & 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 Access Services 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.
NON-COMMERCIAL DISPENSING
Licensed nationally, AllCare has developed, launched and managed multiple non-commercial programs including:
- PAP
- Med-D PAP
- Bridge Support
- Quick Start
- Emergency Initiation
- Replacement Product
Our pharmacy operations team has extensive experience managing a variety of distribution methods including ambient, cold chain and warm chain products.
Standard Pharmacy Hours: Monday – Friday 8:00 AM to 6:00 PM
Customized Pharmacy Hours available to meet your program needs.
Contact us today!
Where access has never been easier.