OUR MISSION
P4 Pathways mission is connecting physicians and payers to drive evidence-based clinical pathways as a MAP to providing high-quality, cost-effective healthcare to oncology patients.

Our Heritage
As a division of P4 Healthcare, P4 Pathways is uniquely positioned to provide comprehensive customized solutions to increase efficiency and provide the highest standards of patient care in oncology. With P4 Healthcare’s growing network of oncology practices throughout the country, P4 Pathways is able to establish strong relationships between physicians and payers that allow open discussions, mutual understanding of needs, and collaboration on the implementation of best-in-class standards of care.

Our Expertise
P4 Pathways has extensive experience with the processes required to develop and maintain diseasespecific and locally based clinical pathways, and understands that success requires not only development and dissemination of the algorithm, but also updating as the science changes, as well as a system for employing compliance metrics.

Our Proprietary Tools
P4 Healthcare’s PBIS family of tools serve as the key compliance and reporting mechanism to execute the pathways programs. PBIS eobONE is a powerful, secure, and web-based reimbursement tool that reliably captures the billing and coding of claims. Coupled with PBIS Informatics, P4 is able to provide accurate real time analysis and trending of a practice’s revenue centric information. A completely HIPAA compliant service, the PBIS toolset is already in use by more than 6000 providers across the United States. Call today

P4 Pathways’ MAP Program
P4 Pathways’ premium MAP Program unites payers and physicians in a comprehensive endeavor to develop and maintain evidence-based clinical pathways that enhance patient care. Payers often remark that rapid changes in oncology therapy are making it difficult to predict costs and manage the disease state efficiently. The MAP program is an effective solution, partnering local payers and physicians to establish evidence-based oncology treatment protocols to deliver high quality, cost efficient patient care. These protocols support optimal patient outcomes by ensuring selection of the most appropriate therapy regimens, thereby minimizing side effects, toxicities, and costs associated with errors. Payers, patients, and physicians alike benefit from streamlined disease management.

P4 Pathways MAP Services
The comprehensive services offered by P4’s MAP Program ensure quick and flawless implementation of newly developed customized programs for each payer. Services include:

1. Fee Schedule Development MAP works with payers to develop a reimbursement schedule that neutralizes drug margins and ensures drug choice is not influenced by financial incentives.
2. Pathway Development MAP manages the development of pathways by establishing a steering committee of locally based academic and community oncologists to ensure pathways reflect both rigorous evidence based medicine; the clinical expertise and best practices in that region. The steering committee meets quarterly to approve updates ensuring pathway protocols quickly reflect any medical advancements and changes in data.
3. Reward Structure MAP works with each payer to appropriately establish a program that incentivizes oncologists to follow the pathways and allows all parties to benefit from realized cost savings.
4. Enrollment P4’s infrastructure and strong relationship with the oncology community allows us to reach, educate and enroll oncology practices. Through live meetings, webinars and local sales associates, P4 will establish open discussions between payers and physicians in order to gain alignment and adoption of the MAP program.
5. Compliance Reporting Participating physicians must utilize P4’s eobONE reimbursement management and data analysis service. While this proprietary web-based tool collects all EOBs to help practices better manage denial and coding errors, it also provides compliance information for payers to help them quickly understand real time oncology spending and behavior.

Call today for more information:
Jeff Hawes PharmD, RPh, Senior Director of Managed Care
Email: jhawes@p4healthcare.com Office: 574-243-3811 Cell: 574-286-4011