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What is Free Market Health?

Free Market Health is an innovative healthcare technology company dedicated to transforming the specialty pharmacy sector through its care-centric marketplace platform. This firm partners with cutting-edge payers and a variety of specialty pharmacies to streamline the often complex and opaque process of fulfilling specialty medication needs, allowing patients to access vital and life-changing treatments more swiftly. By automating the development and verification of submission packs, the platform addresses fundamental issues, fostering transparent and equitable access to specialty drug prescriptions while enabling instantaneous decision-making. This dynamic marketplace empowers all stakeholders to enhance their resources, embrace new possibilities, and find a balance between the cost of care and the value it provides. With a remarkable growth trajectory, Free Market Health processes upwards of 200,000 specialty drug claims annually, marking an extraordinary 400% increase from the previous year. The company's unwavering dedication to innovation and operational efficiency consistently transforms the delivery of specialty pharmacy services, ultimately serving the interests of both patients and healthcare providers. As the healthcare industry evolves, Free Market Health seeks to remain at the forefront of advancements, ensuring that access to essential medications is streamlined for all.

What is CareCost Estimate?

CareCost Estimate delivers a comprehensive solution tailored for infusion centers and specialized medical practices, addressing a frequent question from patients: what is the expected cost of treatment? By inputting details such as medication, dosage, and insurance information, staff members can quickly calculate the patient's out-of-pocket expenses, often in under 90 seconds. This estimate takes into account various elements, including Medicare Part B coinsurance, any secondary insurance, Medigap coverage, weight-based dosing, and potential vial waste considerations (JW/JZ). Additionally, it factors in any available manufacturer copay assistance programs and foundation grants that the patient might qualify for, ensuring that the provided estimate accurately reflects the patient's financial responsibility. Beyond just cost calculations, the platform also offers valuable insights into payer requirements, outlining necessary prior authorizations, step therapy guidelines, and site-of-care conditions, all derived directly from the payer's policy documents with relevant links for easy access. The pricing data is based on the CMS Average Sales Price files, which are updated quarterly, and importantly, since the estimates are generated within the browser, patient information remains confidential and is not sent to outside servers. Furthermore, CareCost enhances its offering by providing free resources on billing and coding practices, including infusion CPT codes, J-codes, and modifiers, as well as a quarterly Infusion Reimbursement Index that aids healthcare providers in optimizing reimbursement processes. This comprehensive approach not only streamlines cost estimation but also supports healthcare professionals in navigating the complexities of patient billing.

Media

Media

No images available

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$189/month (first seat), $89/m
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Documentation Hub
Online Training

Training Options

Documentation Hub

Company Facts

Organization Name

Free Market Health

Date Founded

2019

Company Location

United States

Company Website

www.freemarkethealth.com

Company Facts

Organization Name

CareCost

Date Founded

2026

Company Location

United States

Company Website

carecostestimate.com

Categories and Features

Healthcare

Not specified

Categories and Features

Medical Billing

Not specified

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