A tailored, data-driven approach to accelerate patient onboarding
Field Reimbursement Managers (FRMs) are critical in helping patients start and stay on therapy—but too often, their efforts are reactive. Only 20% of healthcare professionals (HCPs) always appeal prior authorization (PA) denials.
These delays directly affect patient outcomes, resulting in additional office visits, ER visits, hospitalizations, and ineffective initial treatment.
Why It Matters
Our Proactive FRM Enablement and Optimization solution enables FRMs to proactively target high-impact accounts, educate providers and staff before access barriers arise, and simplify prior authorization and referrals, accelerating patient access and reducing friction.
Underlying Challenges and Opportunities:
- Delays in therapy initiation due to step edits and inefficient referral processes compromise patient care.
- FRMs often resolve issues reactively, but proactive outreach drives better results and builds stronger relationships with offices.
- Educating HCPs and staff upfront helps prevent access challenges and improves service offering awareness.
3-Phase Solution
FRM Proactivity
Herspiegel equips field teams with a proactive engagement model that reduces referral gaps and improves HCP willingness to pursue appeals. By optimizing FRM activity planning and resource use, FRMs can address access barriers early and drive stronger patient outcomes. Through structured account plans and connected insights, FRMs are empowered to engage more effectively and demonstrate measurable impact.
FRM Account Planning
Grounded in FRM insights and leadership alignment, our account planning approach ensures interactions are targeted and effective across HCPs, SPs, and HUBs. We help teams align on goals, develop HCP/account scoring models, and connect data to prioritize efforts. This strategy strengthens consistency, improves coordination across stakeholders, and drives more informed and compliant field engagement.
FRM Activity Visualization
Our customizable FRM dashboards deliver real-time data visibility into FRM activity and performance, leveraging smarter, data-driven engagement. Features like HCP scoring, turnaround trends, and regional heat maps help focus efforts and identify opportunities. These tools give organizations a clear view of impact and enable continuous improvement in access strategies.
Herspiegel Approach: Unified Framework
Herspiegel’s proactivity model, account planning structure, and real-time activity visualization create a scalable framework that transforms field effectiveness. This unified approach connects strategy with execution, ensuring FRMs know where to focus, how to act, and how to measure success.
- Align with leadership and stakeholders on objectives and translate into field-level action plans
- Develop a customized account / hcp scoring equation
- Connect disparate datasets to uncover hidden insights and rationalize FRM efforts
- Build a dynamic dashboard at the FRM level
- Help each FRM build individual account plans and start proactive outreach
For example, our FRM account planning initiative demonstrated the measurable impact of proactive engagement.
Case Example:
Case Study: FRM Effectiveness - Proactive Account Planning
Unlocking Impact: From FRM to Business Value
Herspiegel’s Proactive FRM Enablement and Optimization solution provides field teams with a clear framework for building relationships, balancing proactive outreach and reactive support, prioritizing high-impact accounts, and reducing access barriers and reimbursement challenges. FRMs can capture on-the-ground insights to shape patient support strategies through bottom-up input.
For the business, this approach enables more efficient resource allocation and optimizes coverage across accounts. It helps reduce account inefficiencies, accelerates patient onboarding, leverages FRM insights, and identifies regional trends and bottlenecks to enhance access strategies.
This approach offers a scalable solution that connects field insights to strategic decision-making, transforming FRM efforts into actionable business value and stronger patient outcomes.
