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Pharma companies pay an average 25-31% of their revenue in rebates with heavy penalties for late payments

Private Payer Reimbursing Doctor For Telemedicine
  • Accurate and timely rebate and fee validation, calculation, and settlement are crucial to maintaining profitability.
  • Rebates are becoming more innovative and value-based, creating operationally complex agreements that are difficult to execute.
  • Treatment methodologies are becoming complicated and complex impacting claims processing.
  • As exposure to regulatory programs grows, manufacturers double the risk of overpayments.
  • Manual processes and disconnected spreadsheet-based tools hamper efforts to navigate complex requirements for formulary, market share, and price protection calculations.
Private Payer Reimbursing Doctor For Telemedicine

How Model N’s Payer Management solution helps you

With Payer Management, you can eliminate revenue leakage and minimize non-compliance in your payer agreements.

reduced risk

Increased visibility

Gain visibility and control into payer revenue management process to ensure right payers are getting the right discounts.


Improved margins

Decrease revenue leakage by ending rebate overpayments and rejecting invalid claims.

channel data

Reduced effort

Rely on a single platform for handling all aspects of contracts and pricing management, formulary management, and plan management.



Ability to scale to the most demanding needs of the largest manufacturers in the world. From managing PBMs to Plan relationships and executing simple to complex rebate programs.

Some of our customers

Merck logo
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Maximize revenue with a comprehensive, cloud-based solution

Model N Payer Management offers value beyond pricing by supporting flexible contracts and delivering robust analytics for payments and reporting.


New price protection calculation results screen

A new screen that enables users to see improved content focusing on the entire Price Protection calculation and the results of the evaluation.

Strategy designer

Leverage key data (prescription, sales, clinical, etc.) to build strategies for creating and implementing pricing, rebates, and accurate calculations.

Templates and clauses

Improve governance and reduce exposure to risk with preapproved contract templates and clauses, approval workflows, and version tracking.

Single repository

Reduce manual effort by keeping all structured contract documents in a single location.

Data visibility

Clear line of sight into claims processes making it easy to determine effectiveness and accuracy.

Streamline and automate your entire revenue management process


Model N Payer Management is the only end-to-end industry leading payer management solution. It is a core component of Model N’s Revenue Cloud for Pharma, a suite of the most comprehensive solutions focusing on the needs of the pharma industry.

  • End revenue leakage in payer rebating processes. 
  • Optimize 100% of your global revenue with detailed visibility across all channels. 
  • Ensure contract compliance.
  • Ensure your ability to be strategic and dynamic in the market.
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Know and Grow Your True Top Line

Enabling our Customers to Deliver Life-Changing Products to the World


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