SolutionsPharmacy Performance Improvement
Pharmacy Performance Improvement
No matter the size or reach of your organization, there’s always room for financial and operational improvement. And these improvements do not just increase internal efficiency — they also create additional revenue streams, savings, and streamlined operations.
With over 25 consecutive years of experience, our pharmacy business consulting strategists can help you wade through your current financial and operational systems and practices to identify opportunities for optimization, growth, and simplification.
As a part of our comprehensive approach, we leverage market positioning, expertise in managed care payor contracts, specialty drug analytics, build out, and penetration tactics, proprietary data modeling tools, and strategic pricing and reimbursement algorithms to provide your organization with a flexible and sustainable solution that actually works.
Pharmacy Revenue Enhancement
From developing defensible pricing strategies to implementing enhanced CDM formulary management to net revenue focused on cost-to-reimbursement improvement, you will be able to increase your transparency and maintain charge, billing, and pricing integrity all while improving your bottom line. Pharmacy Revenue Enhancement areas include:
Optimization of Managed Care contract terms, chargemaster (CDM), strategic goals, market position, and relational pricing logic
Pharmacy Formulary/CDM Review and Updates to ensure compliance to regulatory and best practice guidelines
Restructuring of Pharmacy Pricing Algorithms to increase NET revenue and make pricing more rational and defensible
Specialty Pharmacy Strategy and Implementation
Specialty drugs demand intensive financial, social, and clinical support to successfully take and complete therapy regimens.
We provide health systems the specialty pharmacy expertise and capabilities required to start and grow a successful health system specialty pharmacy service. Our areas of expertise include:
Pro-forma net revenue projections and opportunity assessment
Specialty pharmacy accreditation
Supporting data analytics and reporting
Training and coaching staff
Compliant 340B program strategies for increased specialty drug capture
Provider-based strategy and expansion
Resource development, acquisition, and allocation
Dispensing and fulfillment operations
Payer and drug manufacturer contracting and LDD penetration
Pharmacy Operational Improvement
Improve pharmacy costs, operations, and efficiency while mitigating risk. Our operational consulting solutions are comprehensive, engaging technology, staffing models, national and regional market analytics, medication safety workflow best practice guidance, cost containment analytics and strategy, pharmacy supply chain contract renegotiation, and financial integrity assessments and remediation. Additionally, we provide implementation expertise to facilitate strategic pharmacy initiatives to reduce opportunity cost and expedite valuable speed to market.
Our Services Include: