How Modern Migraine MD enables providers to prescribe on clinical judgement with Forus
Modern Migraine used to leave prior authorizations incomplete because of limited internal capacity. With Forus, the neurology practice can confidently prescribe the therapies their providers choose and help more patients access the care they recommend.
When Michael Bryan, VP of Operations at Modern Migraine MD, first started working with Forus in 2023, prior authorizations were one of the biggest obstacles standing between patients and the treatments their providers felt appropriate to prescribe.
“Prior authorization was our biggest barrier to care. That was the catalyst for our interest in Forus.”
Modern Migraine is a neurology practice based in Midtown Manhattan, but its reach extends well beyond New York. With two providers licensed across 13 states, the practice serves a broad mix of patients across markets, coverage types, ages, and demographics.
As the practice moved to a fully out-of-network (cash-pay) model, patient expectations increased. The team wanted to deliver a higher-touch experience, but prior authorizations made that difficult. Branded migraine therapies like Nurtec, Ubrelvy, and CGRP injectables often required significant payer work before patients could start treatment.
With Forus, Modern Migraine found a way to preserve provider choice, reduce administrative burden, and help patients get onto their prescribed therapies faster.
The challenge: prescribing around administrative burden
Before Forus, prior authorization work was difficult for Modern Migraine to keep up with internally.
The team knew which medications were likely to require a PA. But because the work was manual, time-consuming, and non-revenue-generating, many authorizations simply could not become the top priority.
“Before Forus, 90%+ of authorizations weren’t being done. We had to focus on other things. The time it took to solve one authorization could be used to schedule ten people.”
That created a painful tradeoff. Providers wanted patients to receive the therapies they believed were clinically appropriate, but the practice also had to account for the reality of limited time and staff capacity.
For migraine patients, a delayed prior authorization could mean months of step therapy before reaching the medication their provider wanted them on from the beginning.
Forus as the path to treatment follow-through
With Forus, Modern Migraine changed how it approaches PA-heavy prescriptions.
Today, the practice processes almost 100% of its medications through Forus. That shift has changed what providers feel comfortable prescribing.
“When you send a prescription to Forus, you can confidently tell the patient that it will be filled.”
Instead of prescribing only what the practice has time to manage, providers can prescribe the therapy they believe the patient should receive. Forus handles the administrative work behind the scenes, helping the practice move patients through payer requirements without pulling staff away from the rest of the operations.
With Forus, the impact for Modern Migraine went beyond operations: more patients could actually start the treatment their provider chose.
“With Forus, nearly twice as many patients are able to access first-line therapy.”
A command center for medication access
Forus has become a central part of Modern Migraine’s daily workflow.
The provider portal gives the team one place to track prescriptions, review request status, and understand what action is needed next.
“The provider portal is the most helpful because it’s a consolidated location for everything to be found.”
Staff keep Forus open throughout the day and check it whenever a patient or provider has a question. Rather than digging through payer notices, pharmacy updates, and disconnected workflows, the team can quickly understand the status of a case.
That visibility is especially valuable when a denial comes back.
“Even when there’s a denial, Forus tells us what the plan needs. We don’t have to sift through a 10-page denial notice.”
Denials that once slowed the process down have become actionable next steps. The practice can see what the payer is asking for and move forward with an appeal more easily.
The result: a higher standard of neurology care
Modern Migraine did not adopt Forus simply to make prior authorizations faster. The practice adopted Forus because authorizations had become a barrier between patients and the treatments their providers chose.
With Forus, the practice can prescribe knowing the administrative work will get done, route PA-heavy medications through a dedicated access workflow, and eliminate time spent managing payer complexity internally.
The impact Modern Migraine attributes to Forus:
- Nearly 2x as many patients receiving the provider’s selected therapy on-time
- Less time spent decoding denial notices and payer requirements
- More confidence prescribing the therapy providers believe is appropriate
For a small neurology practice, that difference matters. Forus helps Modern Migraine deliver the level of care it wants to be known for: treatment based on clinical judgment, not administrative capacity.
“Our partnership with Forus has been the single most valuable addition to our workflow. Our staff have been able to increase their efficiency, which has directly resulted in an increase in the level of care that our patients receive at our office.”
Supporting your practice
If your neurology or specialty practice is ready to streamline prior authorizations and help more patients start therapy, sign your practice up for Forus today or book a demo to learn more.
