Solutions
Formulary and Rebate Management
Best-in-class formulary optimization process that carefully evaluates the balance between financial performance, benefit disruption and clinical appropriateness to find the best market solutions.
Data Analytics and Reporting
Performance monitoring and financial support modeling that utilizes cutting edge analytics functionality to identify trends, set financial forecasts and guide strategic decision making.
Pharmacy Network Strategy
Full suite of solutions built exclusively to improve overall network performance management, including network design, network pricing, and performance monitoring.
Formulary and Rebate Management Services
- We understand that formulary management can be hard to navigate. Our hands on, consultative model was built with the idea that we become an extension of your organization. Therefore, all customers have direct access to our rebate analysis tool and are assigned at least one executive sponsor, an account consultant and a clinical liaison.
- All claims are run through our internally built rebate management rules engine to reduce claim submission errors, maximize rebate yields, reduce manufacturer rejections, improve payment terms and eliminate the risk for retrospective recoupments.
- Solutions and insights around ancillary services including medical benefit rebates and pharmacy benefits claims management strategy.
Data Analytics and Reporting
- We built an analytics engine that provides a full 360 degree view of your rebate metrics.
- Our customer facing reporting provide actionable insights and sets the foundation to making the best formulary management decisions based on the lowest net cost.
- Set actionable triggers based on agreed upon outlier metrics.
- Utilize our internally built rules engine to reduce claim submission errors, maximize rebate yields, reduce manufacturer rejections, improve payment terms and eliminate the risk for retrospective recoupments.
- Our highly intelligent claims technology monitors payments trends enabling us to provide highly accurate rebate estimate reporting to enable customers to better identify opportunities and more accurately forecast results.
Pharmacy Network Strategy
- Our industry experts are here to lead all pharmacy network strategy projects and market evaluations.
- We have experience through the payer, PBM and pharmacy lens enabling us to bring a full 360 perspective to your needs.
- Utilize our industry consultants to support all aspects of pharmacy network including, but not limited to, pricing strategy, go to market evaluation, and financial performance comparison.