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Provider Management

Reduce revenue leakage and non-compliance risk in the institutional contracting process by using provider management software to maximize revenue.

Processing Chargebacks Efficiently with Provider Management

In GPO, IDN, health system and local hospital agreements, Provider Management will eliminate overpayments of fees and rebates, in addition to providing visibility to customer commitment tracking. Pharma manufacturers will able to proactively address customer purchasing behavior as they manage their price tier commitments. Manufacturers are able to reach >98% clean first-pass rates in processing chargebacks, in accordance with HDA best practices.

MedTech manufacturers will also be able to proactively address customer purchasing behavior as they manage their price tier commitments. With our integration with GHX and working closely with HIDA for advanced transaction sets, including bid awards (845), chargebacks and sales tracings (844 and 867), resolved price notifications to hospitals (832) and chargeback reconciliation (849), our customers can efficiently navigate the thousands of contracts they’re maintaining.

Provider Management Product Features
Provider Management Product Features

Features

With the RMaaS delivery model, Provider Management features are continuously being introduced and enhanced to ensure customers can focus on delivering value while incorporating feedback from our customer advisory board to advance best practices. Here are just a few key features of Provider Management:

  • Contracting and pricing
  • Channel management
  • Purchase-based incentives
  • FSS compliance
  • Membership management
  • Contract compliance
  • Accruals management
Provider Management Product Benefits
Provider Management Product Benefits

Benefits

Though just one component of commercial strategy, Provider Management offers important benefits for life sciences manufacturers. Customers can expect to receive significant value by experiencing these benefits, among others:

  • Ensure customers get the right price the first time with real-time integration into your ERP order and billing systems
  • Reach >98% clean first pass rates in processing chargebacks
  • Eliminate overpayments of fees and rebates
  • Gain visibility into customer commitment tracking as sales transactions are processed daily
  • Monitor contract net prices daily or on-demand to prevent or be made aware of regulatory compliance issues

What our customers say

“The teams are loving what they are using so far, coming from Excel spreadsheets and emails and whatever it was, to being able to run a report now that would normally take them several hours if not days … It [Provider Management] is really making a difference in streamlining their processes when it comes to contracts.”

Cheryl Luchento

Project Manager, Integra Life Sciences

THE POWER OF MODEL N PROVIDER MANAGEMENT FOR THE PHARMACEUTICAL AND MEDICAL TECHNOLOGY INDUSTRIES

Combined with the entire Revenue Cloud for Pharma or MedTech suite, manufacturers are able to streamline and automate the entire revenue management process throughout the organization. From sales and marketing, finance and contracting, to legal and regulatory, the Revenue Cloud suite is the most comprehensive solution available.

ADD-ONS

Accruals Management

Accruals Management is an end-to-end Gross-to-Net solution that seamlessly extracts rebate and chargeback lines from our Revenue Cloud and is loaded into the Accruals application where forecasting and reconciliation modules quickly and accurately calculate Net Sales. Accruals eliminates the need for dozens of spreadsheets and maintains an audit log for compliance. It delivers significant productivity improvements by eliminating manual operations and promotes collaboration by which multiple users may use the solution. It is flexible in its ability to roll up discounts by NDC codes, therapeutic areas, contract groups, or any such hierarchy. Best of all, it is a hosted solution, thereby reducing the total cost of ownership and can be up and running very quickly.

Provider Intelligence

Provider Intelligence provides self-service reporting capabilities for rebates, chargebacks, contracts, and pricing and compliance. The application gives visibility into information, thus enabling users to interact better with providers. Users can create dashboards that provide valuble insights into important parameters that enable them make decisions and can alternately schedule reports using the platform, giving acess into real-time insights as needed.

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