Weight Loss & GLP-1 Operations

Scale your metabolic health program without drowning in administrative work

The demand for GLP-1s and medical weight loss is exploding, and with it, the operational burden. From navigating medication shortages to fighting for insurance approvals, your team is facing unprecedented hurdles. Horatio HX provides the high-velocity support infrastructure needed to manage eligibility, retention, and patient logistics at scale.

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Building operational strength for the realities of the GLP-1 boom.

Your Challenges

Prior Authorization Overload: The administrative burden of documenting medical necessity for GLP-1s is unscalable in-house, leading to bottlenecks and lost revenue.
Member Retention: Patient engagement is crucial in weight management programs. Reassurance and support become essential when weight loss plateaus, side effects emerge, or medication access is delayed.
Eligibility Confusion: Navigating complex payer rules (Step Therapy, BMI requirements) to determine who actually qualifies for coverage.
Churn risk: Patients expect premium responsiveness for their monthly fee; slow response times lead to immediate churn.

How HX Helps

High-Volume Prior Authorization Teams: Specialized units dedicated to processing Prior Authorizations and appeals with speed and accuracy.
Pharmacy Hunters: Operational teams that coordinate with pharmacies to locate stock for patients, turning a frustration into a value-add.
Proactive Engagement: We don't just wait for calls; we conduct progress check-ins and nutritional support outreach to boost retention.
Insurance Advocacy: We act as the patient's champion, navigating benefits to ensure they get the coverage they are entitled to.

In the weight loss sector, speed is loyalty. HX ensures your operations move as fast as your market demand.

Solutions that Exceed Weight Loss Programs' Expectations

HX adapts its capabilities to the unique logistical and retention needs of metabolic health platforms. Here's how we help:

Revenue Cycle & Access Management

Clear the insurance hurdles so patients can start treatment faster.

Includes:

High-volume Prior Authorization services (PA submission & tracking)

Specialized units dedicated to processing Prior Authorizations with speed and accuracy.

Eligibility & benefits verification (Specific to metabolic formularies)

Navigate complex payer rules to determine coverage eligibility.

Denial management and appeals coordination

Strategic appeals process for weight loss and GLP-1 claim denials.

Step-therapy documentation support

Expert documentation to meet step-therapy requirements.

Subscription billing management and dunning

Streamlined subscription billing and payment follow-up.

Patient Support & Retention

Keep members engaged, informed, and on track with their goals.

Includes:

Supportive patient engagement (Inbound/Outbound via chat, SMS, phone)

Compassionate support across all communication channels.

Nutritional and lifestyle inquiries support

Expert guidance on nutrition and lifestyle modifications.

Medication side-effect requests support

Empathetic support for medication-related questions and concerns.

Progress check-ins and milestone celebrations

Proactive engagement to boost retention and celebrate achievements.

Subscription renewal and win-back campaigns

Strategic outreach to retain members and re-engage churned patients.

Pharmacy & Clinical Operations

Solve the "last mile" problem of medication delivery.

Includes:

Prescription coordination between the provider, patient, and pharmacy

Seamless coordination to ensure prescriptions are filled correctly.

Pharmacy coordination services (Locating in-stock medication)

Proactive pharmacy hunting to locate available medication stock.

Alternative medication workflow support (when the primary choice is unavailable)

Smooth transitions to alternative medications when needed.

Lab order management and result tracking

Comprehensive lab order coordination and result management.

Medical record data entry and compliance

Accurate data entry and compliance management.

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Why we are the right partner

We Are the Metabolic Health Partner You Are Looking For

Stigma-Free Support

Our agents are trained in inclusive communication, ensuring every interaction is respectful, supportive, and free of judgment.

HX is the missing link that weight loss companies need to turn a prescription into a successful patient journey.

Scale your weight loss program with us

Let's help you drop the administrative weight that's slowing your growth down. Shed the operational weight while delivering the results your patients expect.

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