Connected Health
The ER Experience
Connected Health
During check-in @ ER, I agree to be texted and kept informed from the Anderson Health Group Digital Concierge powered by LifeLink & UBC Pathways Engage
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Connected Health
Connected Health
My prescriber completes the PA in Cover My Meds where she is made aware of a Janssen Xarelto digital concierge powered by LifeLink UBC Pathways® Engage
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Connected Health
My digital concierge tells me how much my medication will cost at local pharmacies as well as mail order; also tells me a PA is needed via the UBC Pathways® eBV service
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Easy
Access
Better
Communication
Faster
Turnarounds
Easy Access
Better Communication
Faster Turnaround
Lower Cost
of Therapy
Connected Health
My Claviprin Digital Concierge asks me if I need help with my co-pay so I enroll in the co-pay card and reduce my total out of pocket spend to $100 for the course of therapy
Lower Cost of Therapy
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Edward continues to feel pain in his leg and is worried.
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Concerned, he makes multiple calls to his primary care office for advice.
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A nurse, unfamiliar with DVT, recommends Edward go to the ER and consult a physician.
The physician recommends several tests to check for issues. After several expensive scans, he is told in a follow up that it is actually a common side effect and post DVT symptom to have long-term leg pain.
Edward stops medication as directed by the hospital physician and simply continues to monitor his heart health.
Easy
Access
Connected Health
Connected Health
Concerned, he messages his
digital concierge and asks what he should do?
Traditional
Edward's digital concierge goes over common side effects, which includes leg pains and asks if he would like to speak to a nurse.
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Relieved, Edward continues with his
course of therapy without another visit to the ER.
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Connected Health
Edward catches a long flight for work.
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regularly runs marathons with his wife.
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Edward's Story
Patient with a DVT navigates his way through hospitals and Pharmacies. See how Connected Health changes:
Transformative Solutions to Help Patients Start and Stay on Therapy
Edward is an avid runner and
After finishing a marathon,
cramping in his leg and checks himself into the ER.
He experiences unexplained swelling and
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During check-in, he agrees to be texted and kept informed from the Anderson Health Group Digital Concierge powered by LifeLink.
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Traditional
Connected Health
He waits patiently to be seen by the doctor.
Edward and his wife can see that he's 3rd in line with regular alerts keeping them up to date on his status.
With a family history of DVT, he's concerned about his leg. Edward has no idea if he's minutes or even hours away from seeing a doctor.
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Edward's digital concierge alerts him that a PA is needed via the UBC Pathways
eBV service and will only take a few minutes. It also tells him how much his medication will cost at local pharmacies as well as mail order.
Hospital pharmacy notifies the doctor that a PA (Prior Authorization) is needed and a fax and phone call to the Payer are required.
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and prescribes him Claviprin. Because of the seriousness of the condition, he will need to start therapy now at the ER.
The doctor diagnoses Edward with a DVT
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Edward's doctor quickly completes an ePA and at the same time his doctor signs Edward up for the Claviprin digital concierge powered by UBC Pathways Engage.
30 minutes go by before the doctor discovers they need to get a PA for the drug first. Another 90 minutes while the doctor finishes the PA.
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Edward is well prepared having already been shown the different costs and options via his digital concierge. He chooses a mail order option that will save him and his health plan a considerable amount of money.
Edward is exhausted and doesn't know. He goes with the hospital's default recommendation.
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The doctor asks which Pharmacy would Edward like him to send the prescription.
Edward receives a week's worth of Claviprin.
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Total cost of therapy will be $4,500.
Edward goes to the Pharmacy to get 30 day supply.
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Total cost of therapy will be $100
His Claviprin Digital Concierge asks him if he needs help with his co-pay so he enrolls in the co-pay card and reduces his total out of pocket spend to $100 for the course of therapy.
He speaks with the nurse and is relieved to find out that it is a common side effect and post DVT symptom.
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Traditional
Connected Health
After taking medication for
2 weeks
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The Specialty Medication Experience
John's Story
Patient with Rheumatoid Arthritis requiring a specialty medication for treatment. See how Connected Health changes:
After struggling for 2 months, he decides to talk to his primary care physician about the on-going pain.
John, 54 began to notice pain in his joints and had attributed it to being over worked and getting old.
John sees an ad (through social media advertising) that peaks his interests regarding joint pain. He visits the Claviprin.com website where he watches videos regarding RA.
Over the course of 2 more months, John continues to have the pain and is referred to a rheumatologist by his primary care doctor.
Connected Health
Traditional
Next
Next
The next day John calls his Dr. to ask if he might have RA. His PCP refers him to a rheumatologist where he is diagnosed with RA.
After another week of waiting,
he is diagnosed with RA.
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John’s rheumatologist prescribes Claviprin
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Through a Real Time Benefit Check in his EMR, John’s doctor sees that the drug will require a PA and it must be filled at Accredo specialty pharmacy.
John’s doctor hands him the physical prescription.
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The doctor completes the ePA and tells John that the Rx will be sent to the pharmacy.
John takes the prescription to his local pharmacy only to find out that a prior authorization (PA) is needed.
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John is also notified that a Claviprin digital concierge is available and he enrolls which offers him more details about education and cost savings options.
After working out the prior auth, Walgreen’s then finds out that they cannot fill the medication due to it being considered specialty by his plan. They return the Rx and tell him to contact his insurance.
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John is notified by his digital concierge that his medication will be shipped via Accredo, but they will call him so he stores their number in his mobile phone. The digital concierge also tells him he is eligible for a co-pay card to reduce his out of pocket to $5 per month instead of $2487 for a 3 month supply.
John knows that he has BCBS of Mo so he tries to find their website. When he Googles BCBS of Mo he is taken to Anthem (which he is not sure who that is) and clicks on pharmacy. Upon clicking on pharmacy the site tells him he has Express Scripts as a trusted partner – who he is not sure who that is. So he goes to Express Scripts site and prices a medication where it tells him it is $2,487 and he must fill at Mail Order. So he tells his rheumatologist to send the Rx to ESI Mail order.
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John signs up for the card and provides the information to Accredo when they call him.
Later, John gets a call from a number he doesn’t recognize so he lets it go to voice mail. The message indicates it is Accredo pharmacy and he should call back. Not sure who Accredo is, but assuming it has to do with his prescription, he calls and they tell him that they need a credit card to process his co-pay of $2,487 before they will ship the drug. Reluctantly, and not sure how he will pay the bill when it comes in, he pays the out of pocket and has the prescription mailed to him.
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John feels relieved and comfortable with how to take the medication.
John at this point is depressed because he has had to miss work, has a huge bill coming due, and the medication is very difficult for him to know if he’s taking it right.
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His digital concierge and nurse ambassador are in touch daily to make sure he is doing ok with his Claviprin.
Feeling stuck after several weeks of pain, he finally injected himself but wasn’t sure if he did it right and is still very nervous about the process.
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John signs up for the nurse to arrive and she does the day after the medication arrives. She shows him exactly how to take the medication and listens to the concerns he has about putting the medication in his body.
The nurse at the pharmacy talked to him about how to inject and he thanked her. After contemplating the injection, he found himself still nervous about it and decided to wait.
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Prior to the medication arriving, John’s digital concierge notifies him that he can have a nurse educator available to train or even administer his first dose in his house.
Even though the pharmacy told him he would have to inject himself, he didn’t realize how nervous he would be or if he would do it the right way. He stops and tries to call the pharmacy back to get help with his injection.
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John’s Claviprin medication arrives promptly for him in the mail
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The story-lines provided on this site are illustrative of what
UBC Pathways® can offer. Brands names and patient examples are not real.
