Pro Pharma Announces Innovative Solutions for Organizational Analytical Deficiencies

The majority of healthcare organizations identify that analytics is a global industry weakness. Pro Pharma’s Transition Team for past 27 years provides analytical expertise for managing organizational Healthcare Medical and Pharmacy Benefits
By: Pro Pharma
NORTHRIDGE, Calif. - March 13, 2014 - PRLog -- A Pharmacy and Medical Benefits Consulting Organization with expertise on Managed Care and Data Analytics, Pro Pharma Pharmaceutical Consultants, Inc., (Pro Pharma), announced today that their Transition Team will provide assistance with organizational preparation, readiness and ongoing support in using data analytics and comprehensive diagnostic analyses as a management tool.

The industry has identified that “six out of 10 respondents to a survey by Health Catalyst rated their own organizations' maturity in analytics adoption at between 0 and 2 on a scale of nine. At that level, the organizations' analytics would fail to meet the requirements of federal "meaningful use" regulations and emerging value-based reimbursement models.”  Source: Health Catalyst.  Dr. Craig Stern state, that “solutions exist to solve the problems and provide measureable results.  We have been working with payers to solve these issues utilizing data analytics with tremendous success"

Pro Pharma’s Suite of Management Tools™, Analytical Transition Team™ and Analytical Assistance Programs™ are world-class in assisting clients with establishing a 360° view of benefits and costs integrating pharmacy, medical, and Worker's Comp to identify the drivers and drain in the entire program.  This, in turn, creates prescriptions for productivity and change, and implements cost-efficient quality improvement measures to ensure an increased ROI to meet organizational goals and expectations.

Pro Pharma has the solution and has found that Analytical Assistance is the key in managing both pharmacy and medical benefits.

Our Analytical Transition Team has been supporting Clients who need:

·        Assistance building their own Analytics internally

·        A bridge for Analytics until their internal systems are in operation

·        Back Office Support (Ghosting) for those Clients who require more comprehensive “just in time” support

In addition, Clients have asked for specific one-time Analyses that can be addressed quickly, and with a minimum of resources at an affordable cost. Pro Pharma Analysts and Dr. Craig Stern have developed Analytical Tools to support Plan and Group Operations.  They were an outgrowth of individual Analytical projects that Pro Pharma has subsequently integrated into a “Suite of Management Tools™" that can be used by Analysts or Non-Analysts alike.  Since many clients requested these one-time Analyses, we expect that others also need this support.

All Analyses are based on Client-specific Pharmacy and/or Medical Claims data and can be in any format that you have available.  Available Analyses, include, but are not limited to the following:


·        Market Share Cost Accounting of Pharmacy Spend

·        Custom MAC™ benchmark pricing using a checklist for choosing custom parameters

·        Pharmacy Network Provider Discount Analyses

·        Analyses of Top Pharmacy Providers for Claims paid below cost leading to potential abuse

Formularies Requiring

·        a GPI-to-GCN, or GCN-to-GPI bridge file

·        a NDC-to-RxCUI bridge file

Mapping of Enrollment and/or Networks

·        Geo-access Maps

·        Network accessibility Maps

·        Population Maps

·        Disease Maps of the population

Age/Gender Banding of the population AND

·        By Top Drugs used in each band

·        By Patient Severity

Fraud Waste Abuse (FWA) Analyses (predicated on profiling and trending of Claims experience over time)

·        By Provider

·        By Pharmacy

·        By Patient

If you have an immediate need, we would appreciate the opportunity to demonstrate the power of these tools and the time-saving ability to answer your management issues and questions.

If you are interested, please contact us via email at  or telephone at (888)701-5438 to schedule a Web Demo via telephone Conference Call.

Carol Stern
Source:Pro Pharma
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Tags:Fraud Waste & Abuse, Market Share, Cost Accounting, Medical Claims, NDC-to-RxCUI
Industry:Health, Medical
Location:Northridge - California - United States
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