Key opinion leaders explore the necessary synergy between payors and providers for optimizing bispecific therapy.
This is a video synopsis/summary of a Peer Exchange involving Ryan Haumschild, PharmD, MS, MBA, CPEL; Kirollos Hanna, PharmD, BCPS, BCOP, FACCC; Sarah Rockwell, PharmD, BCOP; Melody Chang, RPh, MBA, BCOP; and Ryan Cain, PA-C.
Haumschild asks Chang to share additional best practices for providers and payers to collaborate on bispecific antibody access and approval. She stresses open communication to convey patient urgency to payers and increasing speed of approval. Keeping abreast of the latest clinical data to support indications, clearly documenting alignment with approved uses, articulating rationale based on patient history, offering educational materials on efficacy/safety/cost-effectiveness compared to alternatives, and becoming familiar with the appeals process are key. Following evidence-based guidelines can provide reassurance. Such strategies enhance the likelihood of overcoming barriers. Haumschild agrees that partnering with payers via education is key for equitable access and outcomes. Cain outlines his 1-hour patient education session reviewing risks like hospitalization for toxicity management while highlighting the high efficacy. Caregiver worries about significant cytokine release syndrome or neurotoxicity must also be addressed through reviewing safety protocols. Haumschild emphasizes shared decision-making for mutual expectations into therapy.
Video synopsis is AI-generated and reviewed by AJMC® editorial staff.
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