CASE STUDIES
CASE STUDIES
Driving change at hospitals & health systems
$30 million in patient assistance funding
Prior authorization time reduced to 2 days
95% PDC rate
$600 million in specialty pharmacy revenue
PA turnaround time from 42 days to an average of 1.2 days or less
Number of patients in specialty pharmacy program grew by 938% in 2 years
Unlocked an additional 39% of ineligible prescription claims month over month
Revenue increased to $57 million, $20 million over forecasted
91% PA approval rate
PA turnaround time less than 2 days
4,524 patients served in 2 years
$288 million in specialty pharmacy revenue
Outpatient pharmacy reduced reliance on costly outsourcing
100% month-over-month average revenue growth
$31.7 million in revenue for hospital
250 prior authorizations per month, with average turnaround time of 1.4 days
“We saw distinct opportunities across patient outcomes, provider experience and financial improvement for our health system.”
Alastair Bell, MD, MBA
President and CEO of Boston Medical Center Health System
“An advantage to partnering with Clearway Health was that they were rooted in a real health system that had been active for years, and one that owned a large health plan, so they were used to accountability, including for low-income Medicaid patients across an entire state. Their ability to understand our circumstances, and tailor an approach to our specific needs is what stood them apart.”
Eric Balmir, M.S., PharmD, CIM
Vice President of Clinical Ancillary Services and
Chief Pharmacy Officer at Children’s National Hospital
Chief Pharmacy Officer at Children’s National Hospital
“Through our partnerships, we seek to understand each hospital or health system’s overall strategies and create initiatives that help to support them.”
Allison Arant
Senior Vice President of Client Development and Marketing, Clearway Health