Network Access and Referral Management

We provide options and knowledge about where to receive care, and can compare available metrics to assist you in the decision-making process. To do this, we monitor and analyze comprehensive data, the clinical pipeline, existing reimbursement policies, compliance regulations and industry trends to fully understand the market.

• Negotiate contracted rates, reviews claims, and reprices claims

• Negotiate Single Case Agreements for cases not currently under contract

• Provide access to a medical services team for clinical considerations and referral management

• Offer access to Programs of Excellence

Patient Access & Strategic Negotiations

Our cultural competence training equips healthcare providers with the skills necessary to effectively engage diverse patient populations in the context of gene therapies and specialty medications.

Data Management and Analysis

We provide data analysis services to help the state estimate patient populations eligible for these therapies and forecast demand, which is crucial for budgeting and negotiation purposes

IT and Infrastructure Support

Enhancing IT infrastructure to handle the complexities of administering CGTs, including tracking patient outcomes and managing health data securely, could be another area for private contractor involvement

Drug Utilization Review and Management

• Optimized Drug Use: Our clinical team is effective in conducting drug utilization reviews, ensuring that high-cost medications are used efficiently and appropriately. This is especially vital for treatments covered under Medicaid, helping to enhance therapeutic benefits and manage costs effectively.

• Protocol Development and Management: We assist in developing and managing detailed protocols for the use of these drugs. Our services include establishing criteria for patient eligibility and conducting ongoing assessments to ensure optimal therapy outcomes.

Specialized Pharmaceutical Care and Management

Our team of pharmacists can provide specialized care for patients receiving complex therapies such as cell and gene therapies (CGTs). This includes managing the unique dosing and administration needs of these therapies, monitoring for adverse effects, and ensuring compliance with treatment protocols.

Healthcare Provider Training and Coordination

Healthcare training is instrumental in preparing healthcare providers to administer these complex therapies and in coordinating care across different facilities, especially in underserved areas

GTS Consulting: Specializing in Gene Therapy for Sickle Cell Disease

At GTS Consulting, our focus is sharply defined on gene therapies, especially for the treatment of Sickle Cell Disease (SCD). We are experts in managing the complexities associated with high-cost gene therapies, providing vital services that enhance access and reduce financial burdens for healthcare systems and patients. Our firm is dedicated to transforming the landscape of SCD treatment through strategic innovation and comprehensive care approaches.

• Strategic Access and Pricing: Navigating the economic landscape to make gene therapies for SCD more accessible and affordable.

• Expertise in Sickle Cell Disease: Offering deep insights into SCD, backed by current research and treatment advancements.

• Patient-Centric Solutions: Developing solutions focused on the unique needs of SCD patients, ensuring they receive the best possible care.

• Stakeholder Collaboration: Working closely with healthcare providers, payers, and policymakers to streamline access to treatments.

• Innovative Treatment Advocacy: Advocating for advanced gene therapy options that promise better outcomes for patients with SCD.