Ongoing Program Optimization
Identify missed revenue, navigate manufacturer barriers, and ensure consistent program compliance.
Comprehensive Claim Review
For diversion, duplicate discounts, and inventory levels.
To optimize contract pharmacy relationships.
Resolution & Reconciliation
Resolving TPA & contract pharmacy problems/disputes.
Consolidation & reporting of claims data across all TPAs.
No internal resources with 340B experience and inefficient, manual processes.
Executed a plan to quantify the opportunity and maximize savings via operational changes at the infusion center, split-bill implementation, contract pharmacy expansion and created custom P&P.
340B program support took the hospital from $0 to $100,000 in savings per month in less time than the hospital had projected it would take to fill the 340B coordinator role.
Experiencing 340B revenue decrease due to 340B leakage.
Fixed self-pay leakage and reduced fees by advising client to turn off their current self-pay program until the TPA could implement an auto-order mechanism and negotiated a decrease in TPA switch fees by 70%.
Increased monthly savings by 580% through the optimization of existing parameters and vendor relationships, while continuing to help expansion and management of contract pharmacy partnerships.
No prior 340B experience and a limited budget to determine eligibility, ensure proper registration, facilitate implementation, or manage the program.
Initial pro-bono consulting and analysis, followed by program registration, staff training, and operational support.
In only 2 registration cycles, the program management services took a non-existing 340B program to one that generates over $960,000 in annual savings.