Our companies are national pharmaceutical and health care consulting and analytics firms providing unique and comprehensive services to health plans, benefit managers, employer and provider groups, government agencies, associations, medical and pharmaceutical industry, disease and case management organizations, and academic institutions.
We have gained national recognition for our development of a unique and innovative, intelligent analytical model that identifies specific patients with patterns of uncoordinated care in any payer population and quantifies the cost savings for those patients so that a health plan can create very targeted integrated care interventions to achieve significant cost savings.
We have gained national recognition for our development of a unique and innovative, intelligent analytical model that identifies specific patients with patterns of uncoordinated care in any payer population and quantifies the cost savings for those patients so that a health plan can create very targeted integrated care interventions to achieve significant cost savings.
Services
We are committed to serving clients in all sectors of the health care industry. We provide health outcome research and evaluation services; data analysis and other software services; regulatory and policy-related services; and auditing, compliance, and contract review services. Strong relationships are maintained in government, academic, and private sectors of health care to facilitate our client goals.
Our companies have provided technical, policy and analytical data consulting services, conducted educational seminars and developed various educational resources for use in both Medicaid fee-for-service and Medicaid managed care sectors.
Specifically, consulting services have been provided in over 20 states to Medicaid agencies, legislative committees, and other governmental entities in the areas of pharmaceutical program management including operational procedures involving claims processing, evaluation of system edits, preferred drug lists, prior authorization procedures, coverage policies, utilization review, drug pricing and reimbursement, and drug and medical expenditure and utilization analysis.
Specifically, consulting services have been provided in over 20 states to Medicaid agencies, legislative committees, and other governmental entities in the areas of pharmaceutical program management including operational procedures involving claims processing, evaluation of system edits, preferred drug lists, prior authorization procedures, coverage policies, utilization review, drug pricing and reimbursement, and drug and medical expenditure and utilization analysis.
We bring a team of consultant and clinical pharmacists as well as health economists who are experts in their fields with diverse and extensive experience in public and private health plans including Medicaid fee-for-service and managed care sectors.
The pharmaceutical consulting and analytical services we provide combine the experience of clinical and specialized consultant pharmacists, health economist and statistical researchers, and expert business intelligence support personnel.
The pharmaceutical consulting and analytical services we provide combine the experience of clinical and specialized consultant pharmacists, health economist and statistical researchers, and expert business intelligence support personnel.
We have developed a unique and innovative intelligent analytical model for identifying specific patients with patterns of uncoordinated care and quantifying the cost of uncoordinated care in a population. Siginificant cost savings have been demonstrated using this model in health plans. Display and create financial and clinical care patterns with reporting at the population, provider or patient level.
Our personnel have extensive experience in providing consulting, data analysis and clinical services for utilization review/case management in both Medicaid and commercial fee for service and managed care programs. We provide the services of licensed pharmacists and professional staff with extensive experience in clinical and economic evaluations to meet the requirements of the contract.
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