FHA-TPA understands communication is vital and so we have made strategic partnerships with vendors offering 24-hour / 365-day access to toll-free telephonic nurse assistance. The following information will be obtained at the time of the initial call:

On average payors have a 1% incidence rate for cancer diagnosis among enrollees, however, cancer costs make up about 15% of a payor’s overall healthcare expenditures.

FHA-TPA has partnered with Biologics, Inc. to offer our clients a world-class cancer management program as an optional service to assist in deferring these costs. The “Oncology Management Solution (OMS) Program” provides our clients with a comprehensive oncology-specific strategy for patient, medication, provider and claims management that results in:

• Intense clinical support to help members have a safe and successful therapy cycle, improving patient outcomes.
• Side effect mitigation through early intervention that could otherwise result in costly emergency and inpatient care.
• Cost avoidance for unnecessary and inappropriate chemotherapy treatment through proactive medication management.

A certified Oncology Nurse Care Coordinator (OCC) and Pharmacist are assigned as the key resource to both the member and treating physician during the course of treatment.

They are responsible for guiding members through the entire treatment process.

Clinical Oncology Pharmacists are available to members 24/7/365 to maximize compliancy and clinical outcomes.

Other advantages to FHA-TPA scheduling appointments include

• Earlier appointment times
• Arranging direct payment for the medical services rendered

Medical providers do not bill the insured when the appointments are scheduled through FHA-TPA and providers do not balance bill the patient for network contractual savings as the PPO affiliation is identified prior to treatment.

Many times, FHA-TPA can coordinate a global case rate for the facility or dictate which facility is utilized resulting in maximum savings for the insured and the Insurance plan.