Your patients deserve the best coverage.
You provide the best care possible and we’ll get them the best coverage. Let us handle your patients Medicare so you can focus on patient care.
How you benefit
01
Better Patient Outcomes
We help patients select the right plan, ensuring access to necessary treatments. This leads to better adherence, improved health outcomes and stronger patient loyalty.
02
Reduce Billing & Denials
By matching patients with appropriate coverage we reduce claim denials and billing errors, resulting in smoother operations and less administrative burden.
03
Boost Practice Revenue
With the right coverage, patients are more likely to seek care, increasing appointments and boosting practice revenue while reducing time spent on insurance-related questions.
Physician impact
Prior authorization (PA) imposes significant administrative burdens on physicians, diverting time away from direct patient care, increasing operational costs, and heavily contributing to physician burnout. It undermines the financial stability of medical practices, many of which are already facing challenges to remain solvent due to declining Medicare reimbursements.
How has the frequency of peer-to-peer reviews during the PA process changed over the last five years?
56% of physicians participating in P2Ps report P2P reviews have increased in the last five years.
Physicians often need to engage in "peer-to-peer (P2P) reviews" with health plan representatives during the prior authorization process, especially when appealing decisions. Nearly 61% report participating in these reviews, which disrupt patient care and consume valuable time. Moreover, the frequency of P2P reviews is rising, with many physicians not speaking to a qualified "peer."
Source: American Medical Association (www.ama-assn.org
How often does a PA delay or denial lead to a patient paying for a medication that you prescribe (i.e. the health plan does not cover the prescription and the patient pays the full cost) ?
79% report that the Prior Authorization (PA) process at leads sometimes patients to pay out of pocket for a medication.
Source: American Medical Association (www.ama-assn.org)
Our approach
01
Practice & Patient Needs
We start by working closely with you to understand your practice’s goals, patient demographics, and the specific Medicare challenges your patients face. This allows us to offer tailored solutions that not only help your patients but also streamline your practice’s workflow, ensuring you can focus on patient care while we handle the Medicare process.
02
Medicare Education
We offer Medicare education to your staff, ensuring they understand plan options, enrollment processes, and how to assist patients. We also provide tools to help integrate these services into your practice efficiently. With a well-informed team, you enhance patient satisfaction and reducing administrative burdens.
03
Personalized Patient Consultations
We provide personalized Medicare consultations directly to your patients, either on-site at your practice or virtually. We assess their needs, explain Medicare options, and recommend the best plans for their situation. This convenient service ensures your patients get the Medicare coverage they need without the hassle, strengthening their trust in your practice for providing comprehensive care.
04
Enrollment & Ongoing Support
We handle the entire enrollment process, ensuring patients get the coverage they need quickly and correctly. Afterward, we offer continuous support, addressing any questions or issues that may arise. By providing ongoing support, we help maintain strong relationships between you and your patients, enhancing patient loyalty while relieving your practice from the complexities of Medicare.
Why we care
We care because we’ve been there — helping our own parents navigate the maze of Medicare. We know how confusing and overwhelming it can feel, and that’s why we’re here to make it easier and less stressful for you. For us it’s not just about finding a health plan. It’s about making sure you feel secure, well taken care of, and confident in your choices — just like we’d want for our own family.
