PolicyCore Subscription

Don’t allow your business to fall behind the latest coverage criteria for your product across the payer landscape. The PolicyCore subscription provides real-time email alert notifications and an online portal to access the latest criteria on medical policies. With the PolicyCore Subscription, you can become an expert on how Payers treat and reimburse your therapy, drug or diagnostic test in no time.

Our Policy Email Alerts help you stay alert on the latest changes to medical and pharmaceutical policies across the Payer landscape.

Our Policy Alerts Include:

Where do you get your data?

Our proprietary, software-driven solution provides the most complete payer coverage dataset on the market. Contact us to learn more. 

How can this help my business?

Whether you are a manufacturer, laboratory, provider, pharmacy or other healthcare service provider, the changing coverage landscape can have huge implications on your business. A single policy change could affect coverage for a therapeutic which may increase claim denials, or expand the patient population base. By keeping on top of changing payer policies, restrictions and criteria, you can ensure your patients receive coverage for the therapeutics they need. 

 

Our clients have told us that a single Payer alert on a policy change can save them enough in reduced claim denials to pay for our service many times over. Ask us about other case studies and real-world impact. 

How tailored is the information?

Keeping it relevant

Keeping it relevant

We will tailor your subscription so that you receive timely policy updates that affect the drugs, medical devices, laboratory tests or therapies of your choice.

Helping you prioritize

Helping you prioritize

We know you are busy, so we ensure that you only see the information you’re interested in, and prioritizing that information for you is critical.

Working to your schedule

Working to your schedule

What’s more, you can schedule your updates so that you receive updates daily, weekly, or any combination of days that suit your workflow.

What will be included in my email updates?

Our email updates are designed to give you exactly the information you need, and a way to learn more if you so wish. Our Payer alerts typically contains the following information for each policy change:

The Payer, plan, policy name
A summary of the changes made
The effective or revised date (i.e. when the updated policy came into effect)
A link to the full policy document
A next review date, so that you know when the policy may next change
Don’t allow your business to fall behind the latest coverage criteria for your product.

With our PolicyCore Subscription, you can become an expert on how Payers treat and reimburse your therapy in no time. Ask one of our experienced sales team today for a live demonstration of our product suite.

Book a demo

Access years worth of policy updates and payer data, and quickly determine how and when your coverage has changed over time.

With our database you can search for a broad range of policy updates, or hone your search to a specific Payer, state, date range or more.

Our search filters accommodate a wide range of search criteria, including filters such as:

Various document types (e.g. coding documents, pharmacy coverage admin)
Drug or therapy categories (e.g. cardiovascular, gastrointestinal, oncology)
Date Range
and More!
Don’t allow your business to fall behind the latest coverage criteria for your product.

With Policy Reporter’s PolicyCore Subscription, you can become an expert on how Payers treat and reimburse your therapy in no time. Ask one of our experienced sales team today for a live demonstration of our product suite.

Book a demo

In addition to Historical Policy Database, we host the most complete database of live Payer policies and documents on the market, so you can stay up to date on the latest payer data.

Find the Payer policy documents you need fast using our interactive dashboard. Search by therapy, drug, diagnostic test, Payer, state and plan type, to find the desired document(s). We offer a link to that exact document so that you can review the material for yourself.

  • Medical Policies 
  • Pharmaceutical Policies 
  • PA Forms 
  • Coding Guidelines 
  • Provider Manuals 
  • Fee Schedules 
  • More..

What’s more, we’ll let you know at a glance when a given document was last updated, whether it was a Pharmacy benefit or a Medical Benefit document. 

Don’t allow your business to fall behind the latest coverage criteria for your product.

With Policy Reporter’s PolicyCore Subscription, you can become an expert on how Payers treat and reimburse your therapy in no time. Ask one of our experienced sales team today for a live demonstration of our product suite.

Book a demo

Our Coverage Viewer tool is a powerful, user-friendly dashboard to learn about your therapeutics coverage criteria across almost all Payers, health plans and PBMs in the U.S.  

Common Uses of the Coverage Viewer

Policy Reporter provides best-in-class policy coverage criteria layered with covered lives data to inform your brands with the most accurate and updated market access and targeting strategies.

Sales and Market Access teams use the Coverage Viewer tool to identify, assess, and optimize patient access for the select therapeutics of interest. It is designed so that each of your account managers can strategically focus their sales efforts, select and view their territories and inform physicians of the latest criteria.

By utilizing the Coverage Viewer, you can quickly view, monitor, and analyze coverage for your therapeutic, as well as alternative therapies, instantly across all 50 states from one place, enabling you to effectively strategize and ensure commercial success.

CV-Rx

Coverage Viewer – Pharmacy Benefit

Providing the best in class policy coverage criteria layered with pharmacy covered lives figures.

In addition to Coverage Viewer, CV-Rx combines Policy Coverage Criteria with Pharmacy Covered Lives to be able to assess health plans and PBMs on top of Payers. We report both PBM Covered Lives and PBM Client (health plan) Covered Lives for pharmacy benefit coverage to better differentiate access and coverage criteria.

The data set is configurable to best suit your market access needs.

 

Informing Your Providers

Our tool enables your team to export either a simplified or detailed summary of coverage criteria for easy access to providers offline.

At each provider meeting, your account manager can bring this summarized report, which highlights coverage for your therapeutic by plan.

Maximize your product's coverage potential with Policy Reporter’s Acumen Suite.

Book a demo with one of our experienced sales team today to find out more about how our data can optimize your sales strategies.

Book a demo

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