Jan 13, 2026
Nimbus Health is a multistate pulmonary and sleep group caring for patients across five practices. For Director of Operations Aidan Anderson, his team’s biggest constraint was clear: prior authorizations (PAs) and medication access tasks consumed staff time, stalled workflows, and created friction whenever the organization offered more complex treatments.
The burden grew heavier each month as Nimbus prescribed more complex medications, including Zepbound for obstructive sleep apnea patients. Aidan knew the clinical need was clear, but the operational lift required to support these prescriptions was intimidating.
“If our clinicians were managing weight loss for a lot of patients, we would have had to hire dedicated people just to sit on hold. It created real hesitation about whether we could even support this.”
Nimbus needed a sustainable solution before expanding its care model.
Location
Arizona, Georgia, South Carolina
Size
20+ clinicians across 5 practices
Specialty
Pulmonology and Sleep Medicine
Why Nimbus Chose Tandem
The team evaluated multiple prior authorization solutions, but only Tandem offered a no-cost model paired with true end-to-end automation. It eliminated tasks that previously required constant staff involvement and provided clear visibility into the entire prescription process.
Nimbus started with the clinic that most needed support: once up and running, they saw fast results in their pilot. With that success, Aidan encouraged the rest of the Nimbus practices to use Tandem, which would then facilitate prior authorizations, enroll patients in financial assistance when needed, and route prescriptions to the correct pharmacy.
The response from all the offices was the same: “Where can we sign up?”
“We have saved our staff hundreds of hours. They can now refocus on patients, ensure orders go through, and close care gaps.”
Supporting Scalable Zepbound Prescribing
One of the most significant benefits of adopting Tandem was Nimbus Health’s ability to support Zepbound prescribing for sleep apnea patients.
“We were thinking about introducing a weight loss program using Zepbound for our OSA patients. Zepbound is obviously going to trigger a lot of prior authorizations, which would have required us to hire more people.”
But with Tandem, alleviating the administrative burden made prescribing Zepbound possible. Staff were no longer bogged down with long payer calls, manual form work, and repeated restarts when documentation was missing.
“Once we saw that Zepbound was getting approved without us being on hold for 20 minutes, it removed the rate limiter. Without Tandem, we would not have been able to introduce this program as well as we have.”
By automating the process and removing these barriers, Tandem allowed Nimbus to confidently expand patient services while keeping operational costs under control.
A Workflow That Won Teamwide Support
Nimbus initially selected Tandem for the operational and financial alignment. They stayed with it because their team genuinely preferred the new workflow.
“Our clinics and staff thanked me for it. Every other vendor we have used gets groans, but with Tandem, it was the opposite.”
Supporting Your Practice
If your pulmonology or specialty practice is ready to streamline prior authorizations and accelerate access to therapy, sign up your practice for Tandem today or book a demo to learn more.