Resources to Help Your Patients Access Care
The Preventive Cardiovascular Nurses Association has several resources that provide strategies and tips to help patients get the health care and medicines they need.
Health Care Provider Tip Sheet: Implementing Effective Treatments
Learn how to navigate administrative systems, maximize the efficiency of the prior authorization process, and improve nurse job satisfaction, adherence, and patient outcomes. This tip sheet is focused on accessing PCSK9s, Novel Oral Anticoagulants (NOAC), and new heart failure therapies.
Tip Sheet: Data Frequently Requested by Payers for Prior Authorization
This handy tip sheet includes a table of to help you identify what information should be included in a Prior Authorization for certain types of medications to help ensure approval.
Patient Tip Sheet: Getting the Medicines You Need
Share this tool with your patients to help them better understand the prior authorization (PA) process, and their role in getting—and taking—innovative medicines.
Non-statin Prior Authorization Checklist
Developed through a unique collaboration of healthcare professionals and payers, this checklist is designed to identify eligible patients for PCSK9 therapies and support providers and payers in developing evidence-based processes for appropriate access.
Included in this guide:
- Common ICD-10 codes identifying underlying cardiovascular disease
- Clinical rationale establishing statin intolerance or other evidence-based reasons why patients may not be maximized on statin therapy
- Easy-to-use table summarizing lipid-lowering treatment history
Medicare Part D Changes
In response to the Inflation Reduction Act, Medicare released a new Medicare Prescription Payment Plan (MPPP) that reduces Medicare patients' out-of-pocket maximums to $2,000 and gives them the option to "opt-in" to spreading that $2,000 over the course of the year (aka smoothing).
Help your patients navigate this new program with the patient guide and infographic tools developed in partnership with Medicare Access for Patients Rx:
Thank you to program sponsors for PCNA's Access to Innovate Medicines campaign: Amgen, Inc., Bristol-Myers Squibb/Pfizer, Novartis Pharmaceuticals, Sanofi/Regeneron.
Disclaimer: Please be aware that these forms include a sample of current clinical guidelines. However, clinical guidelines (federal, state, local, or those issued by clinical organizations) change over time, so the reader should remember to investigate any recent legal or clinical developments.