A solution for pharmacies that want to mitigate direct and indirect remuneration (DIR) fees by receiving real-time pharmacy benefit manager (PBM) DIR risk information at the point of sale.
Receive returned claim-level DIR risk, fees, and explanation information at the point of sale by relying on a machine learning algorithm backed by reimbursement and switch claims data.
Rapidly identify the appropriate next steps and drive lower fees through patient consultation and engagement tactics. Provide staff insights to suggest alternative therapies or payers.
Gain insight into real-time DIR risk and fee estimates. Enable proactive consultations with patients to drive medication adherence, lower future DIR fees, and increase plan performance metrics.
Join Community discussions
Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success.