Patient Support Programs
Calian partners with pharmaceutical companies to design and implement comprehensive patient support programs (PSPs) that enhance the patient's experience throughout their treatment journey.
Focused on creating the best experience for patients, caregivers and the health care industry as a whole.
Our dedicated team designs customized PSPs that connect all parties using a targeted approach to exceed industry benchmarks while delivering a higher-quality patient experience.
We leverage our proprietary PSP workflow-automation software and systems to ensure excellent quality control, provide significant cost efficiencies and enable a higher volume of patient interactions. As a result, we can provide in-home services at about the same cost as in-clinic, ensuring better outcomes for patients.
Adherence
Adherence to the prescribed medication schedule is extremely important in helping patients achieve a positive treatment outcome. Our adherence programs help patients remain in control of their treatment through guidance, education and accountability. We believe that patient empowerment through holistic disease management and patient-centric services is the future of adherence programs.
Our adherence programs help patients comply with their prescribed treatment by offering:
Dedicated care coordinators to facilitate prescriptions, refills and reimbursement support services.
- Calls, emails and SMS to remind patients of:
Physician visits
Medication refills
Dosing schedules
Educational support
Reimbursement
We understand that navigating the complex world of reimbursement can be overwhelming for patients and providers. That's why we offer comprehensive reimbursement support services to help ensure that patients have access to the medications they need.
Our team of experts is dedicated to helping patients and providers navigate the reimbursement process, from verifying insurance coverage to working with payers to obtain prior authorizations. We strive to make the process as seamless as possible for everyone involved.
Our services include:
Insurance Verification: Our team works with patients and providers to verify insurance coverage and ensure that the medication is covered under the patient's plan. We also help patients understand their out-of-pocket costs.
Prior Authorization Support: We work with providers and payers to obtain prior authorization for medications that require it. Our team will submit all necessary paperwork and follow up with payers to ensure that the process is completed as quickly as possible.
Appeals Support: If a claim is denied, we will work with the provider and payer to determine the reason for the denial and develop an appeal strategy. Our team will handle all paperwork and communication with the payer to help ensure a successful outcome.
Patient Assistance Programs: For patients who do not have insurance or who cannot afford their out-of-pocket costs, we offer assistance in finding and enrolling in patient assistance programs.
Billing and Coding Support: Our team provides support in billing and coding for medications, including assistance with coding and billing issues that may arise.
We are committed to providing the highest level of customer service to both patients and providers. Our goal is to make the reimbursement process as smooth and stress-free as possible so that patients can focus on their health and well-being.
Real World Evidence
Real-world evidence (RWE) is the clinical evidence concerning the usage, benefits and risks of marketed pharmaceutical products in clinical practice. RWE is derived from an analysis of real-world data assembled about a product’s use in the “real world”, collected outside the controls and limitations of conventional randomized clinical trials. RWE fulfills the need for broader information on real-world effectiveness and safety that will impact the reimbursement and utilization of new medications as driven by regulators, public and private payers, prescribers and manufacturers.
Data about real-world patient experience has the potential to improve the quality and delivery of medical care, reduce overall costs and improve outcomes. These data help fill the knowledge gap between clinical trials and actual clinical practice.
Calian offers custom-designed qualitative and quantitative real-world evidence (RWE) data collection as part of our patient support programs.
Nursing Services
Our team of experienced nurses is dedicated to providing comprehensive support to patients who have been prescribed a specialty medication. We understand that starting a new treatment can be overwhelming, and we are here to help make the process as smooth and stress-free as possible.
Our nursing services include:
Treatment Education: Our nurses provide education on the patient's specialty medication, including how it works, how it is administered and any potential side effects. This education is tailored to each patient's specific needs and is designed to ensure that patients have a thorough understanding of their treatment.
Injection Training: For patients who have been prescribed a medication that requires self-injection, our nurses provide one-on-one training on how to properly administer the medication. We also provide training on the use of injection devices and how to safely dispose of needles and syringes.
Injections and Infusions: For patients who prefer to have their medication administered by a nurse, we offer injection and infusion services. Our nurses are experienced in administering specialty medications and follow strict protocols to ensure patient safety.
Side Effect Management: Our nurses provide guidance on how to manage any side effects that may arise from the patient's medication. We also provide education on when to contact the healthcare provider if side effects become severe or persistent.
Adherence Support: Our nurses provide ongoing support to help patients adhere to their treatment plans. We work with patients to develop schedules that fit their lifestyles and provide reminders and follow-up as needed.
Virtual Care and Remote Monitoring: We offer virtual care and remote monitoring services to provide patients with easy access to our nursing team. This includes virtual visits, telephone support and remote monitoring of vital signs to ensure that patients are receiving the appropriate care.
Ongoing Support: Our nurses are available to provide ongoing support to patients throughout their treatment journey. We are here to answer questions, provide guidance and offer encouragement every step of the way.
