The client’s managed care partnership strategies, rebates and reimbursement policies are constantly evolving in response to changes in market dynamics. The increased focus on specialty products and biologics add to complex payment rates and contracts. As a result, visibility into payor performance is hampered. The client wanted an integrated source of information.
We took a four-phased approach to this challenge:
Analyze the entire payor situation and simulate scenarios to enable decisions on the right payor mix
Create contingency plans for any unforeseen circumstance with any major payor
Strategize more effectively in near real time and make data-backed business decision