Supporting the needs of Hemophilia Treatment Centers.
Centric Health Resources provides contract pharmacy services for Hemophilia Treatment Centers. These centers are designated as covered entities under the provisions of the Veteran’s Health Act of 1992. Through this legislation, centers are permitted to distribute clotting factor on an outpatient basis to their hemophilia patients. They may utilize a contract pharmacy to provide these specialized services.
As a specialty pharmacy with health management programs, Centric is ideally positioned to work with these centers. We specialize in developing programs customized to meet their specific requirements. From distribution-only models, to comprehensive management services that include pricing, billing, reimbursement and outreach support. Centric develops a business plan to ensure the center’s success in meeting their patient needs.
Below is a summary of the support services offered by Centric Health Resources for the establishment and expansion of a 340B hemophilia treatment center program:
Regulatory Support Services:
- Analysis and summary of existing pertinent regulations and laws regarding contract pharmacy and MSO services for hemophilia 340B programs
- On-going analysis and summary of new 340B regulations and laws
Market Analysis Support Services:
- Analysis and summary of the status of the current hemophilia market related to treatment centers with 340B programs
- Analysis and summary of the local hemophilia market and 340B treatment programs
Marketing Support Services:
- Co-development and review of any materials created to support the establishment/expansion of the 340B treatment center services
Payer Strategy and Regulatory Support:
- Analysis and summary of the local third party payer market, including state payers, related to 340B programs
- On-going support regarding payer strategies and negotiations
Operations Support to include but not limited to:
- Customer service
- Product acquisition
- Call center
- Staffing models
- Inventory
- Wholesale services
- Pharmacy services
- Delivery services
- Reimbursement and collections
- Financial analysis
- Reporting
Centric also offers on-going consultative support regarding operations changes and enhancements, including:
Contracted Pharmacy Services:
- Ordering and maintain appropriate product inventory
- Dispensing of products purchased by the 340B entity to the patient consumer
- Co-develop and maintain a tracking system to ensure product is dispensed to only patients of the eligible entity
- Separation of 340B records
- Compliance with all local, state and federal laws and regulations
- Reporting back to the 340B entity
Billing and Collections:
- Patient intake
- Initiate call to payer to verify coverage and benefits
- Undertake prior authorization if required
- Obtain necessary consents
- Inform patient of coverage and co-pay
- Patient coverage is denied
- Contact appropriate parties
- Appeal the case, according to mutually agreed upon policies
- Communicate with patient and physician regarding coverage and status
- Billing of third party payers
- Assembling of appropriate documentation for submission to payer
- Claims adjudication
- Management of collections
- Co-pay collection
Additional services:
- Development of the 340B Treatment Center Business Plan
- Development of contracts
- Recommendations on pricing formulas
For more information or to request a confidential review of your current program, please contact us at: info@centrichealthresources.com, call 636-519-2400 or use our online form.