Access & Reimbursement

Canary helps companies prepare for a smooth and equitable access pathway by functioning as an early-stage patient advocacy and access support partner. We assist in planning for insurance coverage challenges long before commercial launch, ensuring both internal teams and patient communities are equipped for the realities of payer review, utilization management, and reimbursement processes.

Our work begins with building or refining internal Patient Assistance Program (PAP) systems, including materials creation, workflow design, call scripts, troubleshooting guides, and team training through mock patient interactions. We map where patients are located, which payers are most likely to approve or deny coverage, and proactively plan for scenarios involving commercial insurers, Medicaid, and specialty pharmacy channels.

Canary also develops and manages Patient and Caregiver Ambassador Programs to help families understand treatment requirements, navigate insurance, explore financial assistance options, and feel supported throughout the treatment journey.

As external launch approaches, we support collaboration with patient advocacy organizations, develop community-facing educational resources, and prepare communications for payer meetings, policy review committees, and potential public access challenges. We create template letters of medical necessity and appeals, model payer policies, and escalation workflows to resolve insurance denials effectively and respectfully.

Our approach emphasizes transparency, readiness, and continuous patient-centered support, ensuring that when treatment becomes available, the community is informed, the company is prepared, and access barriers are addressed head-on rather than reactively.

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