Private Sector
PAYERS
SELF INSURED EMPLOYERS, UNIONS and TRUSTS:
PRO PHARMA serves the Self-Insured Employer marketplace, in addition to Unions and Trusts. Our experience and abilities to utilize data analytics to manage quality and costs, and predict budgetary impact are unique and valuable to these clients in the following key areas:
- Invoice Screening™
- Quality Management Program™
- JCode Calculator™ to NDC for Injectable Pricing Control
- Financial, Performance, and Claims Audits™
HEALTH PLANS:
PRO PHARMA's broad knowledge of the healthcare landscape, players and vendor offerings provides Health Plans with niche consultative and data analytical tools and predictive modeling to assist with strategic and budgetary planning as follows:
- Financial and Performance Audits™
- Invoice Screening™
- Quality Management Program™
- JCode Calculator™ to NDC for Injectable Pricing Control
- Benefit Design and Benefit Management
- Data and Predictive Modeling to assist with Strategic Planning
PROVIDERS
PRO PHARMA has consulted to the Provider market for over twenty years. Our vast knowledge of the healthcare landscape, clinical expertise, and abilities with data mining for clinical and business efficiencies is known nationwide.
HOSPITAL CORPORATIONS / INTEGRATED HEALTH NETWORKS:
PRO PHARMA's experience with Integrated Health Networks is focused in the following key areas:
- Strategic Planning and Implementation
- Productivity, Through-Put and Other Business Projects
- Data Analysis and Data Mining Project
AMBULATORY CARE SECTOR:
PRO PHARMA bridges the gap between the acute care sector and the physician practice setting utilizing programs and analytical and strategic planning expertise and programs.
- Productivity, Through-Put and Other Business Projects
- Data Analysis and Data Mining Projects
- Physician Profiling & Utilization Management
INDIVIDUAL and PHYSICIAN GROUP PRACTICES:
PRO PHARMA has over fifteen(15) years of experience in working with Physician Group and individual practices for quality, utilization, and cost control initiatives:
For more information please contact Carol Stern @ 818-701-5438
or carol.stern@propharmaconsultants.com
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