Products & Services
Bringing Clarity to Healthcare Decision-Making with Analytical Tools
Consulting
Pro Pharma consults on pharmacy benefits and analytics issues. All evaluations and recommendations are based on extensive analyses. Evaluating every dollar spent is important to the payer to allow for planning, management of overall spend, and prioritizing management objectives. Consulting includes financial and clinical evaluations accompanied by tools to manage the drivers of change. Consulting also includes predictions for change and tools to help with changes in partners to support management initiatives.
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Financial Analysis
Under Consutruction
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Concurrent Audit and Analyses
Pharmacy Invoice Analyses – Identify, Prioritize & Manage Rx Adjudication Issuest
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Retrospective Audit
Pharmacy Audits & Management Prioritizing Corrective Actions Automatically
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Forecasting & Predictions
Artificial Intelligence to Forecast and Predict the Impact of Specific Factors on Population
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Analytics
Having data at your fingertips is a management imperative. Having analytics that are easy to use and interpret is a crucial management tool. While big data employs specialized mathematical tools, the technology marketplace has moved much of the simple analyses to reporting that can be used on the desktop or mobile environments. Pro Pharma and ProData Analytics have developed tools that will bring analytics to the manager who is not an analyst. Many of these tools rapidly, efficiently, and graphically utilize integrated claims data. An extensive list of filters makes it easy to customize your analyses.
Financial Analytics
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Specialty Medication Analysis
Analyze & Validate All Elements of Medical & Pharmacy Spend and Actions for Outlier Providerss
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Fraud, Waste & Abuse
Identify FWA at Pharmacy, Provider, & Patient Levels for Interventions and Correction
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JCode Calculator 3.0
Identify Specialty Rx HCPCS, NDCs, Pricing, Dx, Usage, FDA Alerts and Genomic Tests
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Maximum Allowable Cost List
Customized MAC List – Transparent, Accessible & All the Savings Go to the Payers
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Clinical Analytics
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Comprehensive Medication Review
Automated Review of Medication - Link to Billing, EMR, Patient & Prescriber Letters
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Clinical Compliance
Digital & Clinical Edits for Monitoring Medication Effectiveness and Risks
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Quality Managment Program
Improving Quality-Prescribing Decisions for Your Members, Without Having to Change your Benefits
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