Healthcare Payor Information

Delivering on Value and Savings

Caring for patients with rare diseases and complex conditions, and handling dispenses for drugs that have complicated delivery or administration requirements, is a responsibility that we take pride in performing. We focus on providing your members with high quality specialty pharmacy services, delivered with compassion and underpinned by sound clinical and logistical actions that drive opportunities for cost avoidance. Orsini's high performing specialty pharmacy service model and solid reputation with biotech manufacturers places us as a valuable provider of limited distribution drugs. We develop therapy-focused clinical programs and services that help achieve high medication adherence and desirable outcomes.

 

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Our tailored services for payors and their members include:

 

COORDINATED CARE

For members with rare diseases and complex conditions, this is a very important aspect of what we do on their behalf and it drives member satisfaction. We coordinate care between the prescriber, site of care and patient to ensure that the safety and appropriateness of the therapy regimen aligns with the prescriber's orders. This coordination eases treatment burden, improves quality of care, ensures expected outcomes and reduces spending associated with unnecessary hospitalizations or visits to the Emergency Department (ED). In addition to providing coordinated care, Orsini Specialty Pharmacy also helps avoid over-utilization, repeat diagnostic testing, repeat medical histories, multiple prescriptions and adverse drug interactions.

COMPREHENSIVE CARE MANAGEMENT

We develop therapy-specific programs that provide education, guidance, and interventional interactions to enable members to better manage their condition. By helping your members integrate their therapy into their everyday lives, they will find it easier to take ownership of their condition which can result in incremental health improvements that drive a lower cost of care. Orsini's experienced clinicians provide counseling on drug administration and storage, adherence tips, encouragement and side effect management. 

SITE OF CARE

Orsini is able to support all sites of care, including the physician office and in the home. We administer a nationwide nursing network, allowing members to pursue in-home treatment or receive training on self-administrated drugs. Our nurse coordinators collaborate with members and their families and provide clinical education and coaching that strengthen members’ capacity towards goal achievement, resulting in improved clinical and psychosocial outcomes.

 

COST AVOIDANCE

A majority of the therapies that Orsini Specialty Pharmacy dispenses are high-cost, lifelong maintenance therapies intended to allow members with rare diseases or complex conditions to live their best life possible. Our therapy care teams approach drug cost avoidance in a number of ways, including the following:

    • We actively manage inventory in the patient's home to ensure they have the correct amount of medication on hand and to avoid stockpiling. 

    • For all of our conditions, we tailor our counseling calls to each member’s situation to prevent avoidable health care costs, including hospital ED visits or unnecessary admissions.
COORDINATION OF BENEFITS

At Orsini Specialty Pharmacy we perform an in-depth benefits investigation to determine if a patient has access to multiple payors, co-pay programs and third-party foundation support. This ensures the appropriate primary, secondary and tertiary payor is billed, which can result in savings to both the member and payor.

 

             DATA REPORTING

Orsini Specialty Pharmacy's proprietary system collects critical metrics on clinical demographics, interventions and outcomes and can refine program models and formulary designs in line with the needs of their customer base. 

 

ACCREDITATIONS

Orsini Specialty Pharmacy has a long-standing commitment to quality and patient safety. We are able to validate our ongoing diligence in the clinical, dispense and home care nursing pharmacy services we provide through the national accreditations that we hold.


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