Underutilization of Data & Analytical Tools in the Health Care Industry

Improving efficiency and quality through analytics, the key is turning raw data into meaningful information
Invoice Screening™- analytical study PBM invoice before payment to void errors
Invoice Screening™- analytical study PBM invoice before payment to void errors
CANOGA PARK, Calif. - June 16, 2015 - PRLog -- One of the most effective way of improving both efficiency and quality in healthcare is using both data and analytic tools to discover areas that require scrutiny or modification, however, only a small percentage of organizations in the healthcare industry do this. Many times the organization does a great job of collecting data but don’t seem to do much with it once collected. This is often due to the fact that they simply don’t possess the analytical capabilities to process all this data.

The key is turning raw data into meaningful information, but often the most challenging.

Pro Pharma Pharmaceutical Consultants, Inc. (Pro Pharma) focuses on data analytical expertise and has been offering analytical assistance to health plans, self-insured employers, unions, trust and worker’s compensations companies since 1986.

For an organization to be efficient and effective they must evaluate themselves in multiple aspects, viewing the complete picture. Pro Pharma provides custom tailored big data analytics to meet the individual organizations need. This is done through the integrated analytics of medical, pharmacy, enrollment, laboratory, and radiology data.

The first step is an analysis of financial and clinical drivers.

Invoice Screening™, the statistical review of PBM invoices before payment, helps eliminate payment errors, identifies problems previously unrecognized or historically not addressed, and helps put money back in your organization’s pocket”, states Carol Stern, CEO.  She states further that “Pro Pharma assists clients in minimizing their drug spend by identifying savings opportunities not commonly addressed by the PBMs. This works to prevent payment rejections”.

For more info visit http://propharmaconsultants.com/products/invoice-screening/

Pro Pharma outputs analyses and reports, which when coupled with the knowledge of their expert consultants and support of clinicians, analysts and programmers provides quality information for decision making. This information can be used to implement change and move an organization towards improving not just quality and service but also in managing their cost.

“Pro Pharma helps organizations manage and comply with Medicaid and Medicare benefits as close to real time as possible; most specifically at the PBM invoice payment. You don’t have to wait for reports from CMS, or Medicaid and Medicare audits to find out what’s wrong!” states Dr. Craig S. Stern

Pro Pharma’s analytical services are fast, reliable, easy to navigate, and available on demand to the clients through secure access on a HIPPA compliant system.

For more information on Pro Pharma or its products and services, please contact us at (888) 701-5438 or visit our webpage at http://www.propharamaconsultants.com

About Pro Pharma Pharmaceutical Consultants, Inc.

PRO PHARMAis a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.

As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.

Pro Pharma’s Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators.   PRO PHARMA markets Comprehensive Specialty Analyses™, JCode Calculator™, Invoice Screening ™, Pro Pharma Suite of Tools™, Rx MAC List™, Quality Management Program™, Treatment Calendar™, and Biotech Modeling™.  The Pro Pharma directly markets its products in the U.S. and collaborates with partners to reach international markets.

Carol Stern, CEO
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Tags:Healthcare, Data Analytics, PBM Invoice, Medicaid and Medicare, Financial Audits
Industry:Business, Health
Location:Canoga Park - California - United States
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Page Updated Last on: Jun 18, 2015
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