Revenue Management for Generics

Taking the Risk Out of Revenue

Generic pharmaceutical manufacturers are experiencing phenomenal growth driven by patent expirations of blockbuster drugs and a continued focus on controlling healthcare costs by insurers, managed care organizations, and government entities. While the industry is booming, the convergence of accelerating competitive pressure and increasing government regulatory oversight is creating an unprecedented level of complexity in managing sales and revenue. These challenges are magnified by disjointed processes and revenue life cycle systems that are spread across multiple organizational departments. As a result, it is common to find poor hand-offs between pricing, contracts, and settlements processes and gaps in regulatory monitoring that — especially when combined — lead to significant revenue leakage and regulatory compliance exposure.

Model N Revenue Management Suite for Generics

The Model N Revenue Management Suite introduces a new solution to the challenges facing leading generics manufacturers. The suite links the processes of pricing, contract creation, performance, management, and payment of settlements through a combination of industry best practices and breakthrough software technology. Sharing a common technology platform, the applications in the suite control all the critical processes across the Revenue Management life cycle, from planning and pricing to payment of chargebacks, rebates, and fees through integrated regulatory compliance processes and controls.

The suite supports critical generics business activities from frequent contract and pricing updates to complex and varied discounts and incentive deal structures. It also supports a broad range of unique generics business requirements, from the development of channel-specific contracting strategies to managing authorized generics products and handling nuances in government price reporting. With advanced analytical capabilities, the suite enables users to explore the wealth of data in the system and perform predictive modeling to provide critical business insights.

Reducing Regulatory Exposure and Revenue Leakage

Designed for use across multiple departments including sales, finance, and marketing, the Model N Revenue Management Suite allows generics manufacturers to share process flows and access to common data across all applications. Applications in the suite address specific functionality such as creating pricing policies, developing contracts, managing membership and eligibility, validating and processing chargebacks, calculating and reporting government best price, and automating Medicaid claims processing. The suite also provides powerful workflow management, alerts, and notifications, reducing administrative burden and enabling business to manage by exception. The same infrastructure also provides comprehensive functionality for recording actions, approvals, and versions of documents, providing a complete audit trail across the revenue life cycle.


Revenue Planning and Intelligence
Perform unparalleled revenue impact and risk assessment driven by seamless integration with revenue management solutions and legacy ERP systems.

Price Management
Define and publish price lists, pricing policies, discounts, and incentive programs; track price history, performance, and program results to develop and improve pricing strategy; provide real-time price lookups directly or via an ERP system with the ability to automatically resolve overlapping contract, membership, and price combinations.

Contract Management
Develop and administer contracts, a contract repository, and all associated approvals and administrative tasks, including membership and eligibility management, with closed-loop integration to Model N pricing and settlements applications.

Contract Compliance
Automate set up, tracking, and reporting on customer contract commitments; eliminate costly and time-consuming manual tracking and analysis; and facilitate better pricing strategy and decision making for future contracts.

Chargebacks
Process indirect sales data, validate against contracts and terms, manage approvals, resubmissions, and reversals, and integrate with ERP systems for payments.

 

Institutional Rebates
Create sophisticated incentive programs that receive and validate sales claims, determine eligibility, track incentives, perform net revenue calculations, automate approvals, and manage recalculations, reversals, and submission of payments to ERP systems.

Admin Fees
Process sales data to calculate, validate, manage, and analyze fees due to third-party organizations for value-added services.

Government Pricing
Manage both the data and calculations required for government pricing compliance and reporting, including price threshold alerts, approvals, and the creation of an audit trail.

Medicaid Claims Processing
Establish Medicaid and state supplemental formulas with a flexible expression builder; manage validations, approvals, processing, and reporting for all claims.

FSS Compliance
Define and manage FSS compliance easily and efficiently while maintaining full transparency and auditability.

Fee-for-Service
Process indirect and direct sales data to calculate and generate fees due to wholesalers; improve channel relationships.

Quick Links
Model N has worked closely with generics pharmaceutical manufacturers to incorporate functionality into its application suite that directly addresses the unique Revenue Management needs of our industry.

Joseph Greer
Senior Director of IT
Par Pharmaceutical