Payer Management

get started

Contact Sales

Services & Support
- Services & Support
  To ensure you get the most out of your Model N investment Model N provides a complete set of professional Customer Success, Services and Support offerings designed to further your business and IT success.
  
  service overview
- Right block

Company
- Company
  Model N supports the complex business needs of the world’s leading brands in pharmaceutical, medical device, high tech, manufacturing and semiconductors across more than 120 countries, including Pfizer, AstraZeneca, Sanofi, Gilead, Abbott, Stryker, AMD, Micron, Seagate, STMicroelectronics, NXP, Sesotec, and Southern States.
  
  company overview
- Right block
  - Col1
    - Block1
  - Col2
    - Block2
  - Col3
    - Block3

Contact Sales

Services & Support
- Services & Support
  To ensure you get the most out of your Model N investment Model N provides a complete set of professional Customer Success, Services and Support offerings designed to further your business and IT success.
  
  service overview
- Right block

Company
- Company
  Model N supports the complex business needs of the world’s leading brands in pharmaceutical, medical device, high tech, manufacturing and semiconductors across more than 120 countries, including Pfizer, AstraZeneca, Sanofi, Gilead, Abbott, Stryker, AMD, Micron, Seagate, STMicroelectronics, NXP, Sesotec, and Southern States.
  
  company overview
- Right block
  - Col1
    - Block1
  - Col2
    - Block2
  - Col3
    - Block3

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

Private Payer Reimbursing Doctor For Telemedicine

Accurate, 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, the risk of overpayments doubles.
Manual processes and disconnected spreadsheet-based tools hamper efforts to navigate complex requirements for formulary, market share, and price protection calculations.

How Model N Payer Management solution helps you

With Payer Management, you can optimize revenue and ensure compliance with your payer agreements.

Increased visibility

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

Improved margins

Maximize revenue by reducing rebate overpayments and rejecting invalid claims.

Reduced effort

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

Scalability

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.

Trusted by leading pharma innovators

Looking for more information?

Maximize revenue with a comprehensive, cloud-based solution

Model N Payer Management with Validata offers value beyond pricing by supporting flexible contracts, enforcing agreement terms, and delivering robust analytics for payments and reporting.

New price protection calculation results screen

Gain visibility into 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

Determine effectiveness and accuracy with a clear line of sight into claims processing.

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 Revenue Cloud for Pharma, a suite of the most comprehensive solutions that meet the needs of the pharmaceutical industry.

End revenue leakage in payer contacting and rebating processes.
Optimize 100% of your global revenue with detailed visibility across all channels.
Ensure contract compliance.
Remain focused on bringing innovative, life-changing products to market.

Add On's

Model N Alerts Management

Built to promote cross-functional communication and awareness of important events across the entire organization. The alerts are fully configurable to ensure they’re tailored to meet the unique needs of each organization.

Validata

Reduce inaccurate payments by flagging ineligible transactions based on established criteria for commercial payers, Medicare Part D, Tricare, and medical benefits.

Learn More