Patients + Profitability™

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Still in the Kitchen, Still Unopened

Still in the Kitchen, Still Unopened

Therapy initiation is the tenth of the 10 Exits of Therapy™, and it is the only one where every part of the system has done its job and the treatment still has not started. A treatment that arrives and does not get started is usually waiting on a question rather than...

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Nobody Owns the Second Fill

Nobody Owns the Second Fill

Patient engagement is the ninth of the 10 Exits of Therapy™, and it is the one where everybody stopped watching because the first part went well. Starting a treatment is measured by almost everyone in the chain. Continuing it is measured by almost no one, and there is...

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Three Sentences That Sound the Same

Three Sentences That Sound the Same

Fulfillment is the eighth of the 10 Exits of Therapy™, and it is the one where everything has been approved and the medicine still is not in your hand. A pharmacy that cannot fill your prescription is telling you one of three different things, and they are usually...

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The price changed. Your medicine did not.

The Number at the Counter

Affordability is the seventh of the 10 Exits of Therapy™, and it is the only one that can change while you are standing still. If the price jumped and nothing about your medicine changed, your benefit year almost certainly reset. There are three separate places help...

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A wait with no clock. Only one stretch has a deadline.

A Wait With No Clock

Prior authorization is the sixth of the 10 Exits of Therapy™, and it is the one where everybody assumes somebody else is watching the calendar. There is a deadline on your request. It starts when the request reaches your plan, not when your prescriber's office says...

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Patients and Profitability: Why the Most Successful Pharmaceutical Companies Never Choose Between Them

Patients and Profitability: Why the Most Successful Pharmaceutical Companies Never Choose Between Them

Patients and profitability are often treated as competing priorities in the pharmaceutical industry. In reality, organizations that improve patient outcomes frequently achieve stronger commercial performance. This article explores how a patient-centered strategy creates sustainable business growth, strengthens commercial excellence, and delivers long-term value for patients, healthcare providers, and pharmaceutical organizations.

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Two decisions, not one. Only one is clinical.

Your Plan Decided Before You Did

Coverage is the fifth of the 10 Exits of Therapy™, and it is the one where a decision about your treatment was made by people who never met you. Your plan keeps a list of medicines it will pay for and rules about the order you have to try them in. Both are negotiated...

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The Form Nobody Mentioned

The Form Nobody Mentioned

Enrollment is the fourth of the 10 Exits of Therapy™, and it is the one where the help already exists and is waiting for a form you were never handed. Many treatments come with a support program that can help with cost, paperwork, delivery or getting started, and...

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The Decision Was Made. The Prescription Was Not Sent.

The Decision Was Made. The Prescription Was Not Sent.

Prescription creation is the third of the 10 Exits of Therapy™, and it is the one where you watched the decision get made and then never saw what happened to it. Deciding on a treatment and sending the prescription are two separate events, and only the first one...

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Booked Out, or Out of Network

Booked Out, or Out of Network

Provider access is the second of the 10 Exits of Therapy™, and it is where two completely different problems wear the same face. Not being able to see the right clinician is either a scheduling problem or a contract problem. They feel identical when you are the one...

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