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.
Forecast and planfor anticipated DIR fees
View claim-level DIR fees in real time
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.
Help mitigate DIR fees in advance
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.
Plan for DIR expenditures
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.
Automated, advanced DIR fee identification
- Eliminate manual, retroactive processes and reduce the risk of human error
- Streamline your workflow with a direct, real-time return of DIR risks, fees, and explanations
- Help reduce DIR fees by proactively fixing forecasted problem areas as they arise
- Reallocate budgeted funds for other areas due to accurate DIR forecasting
- Support medication adherence with point-of-sale patient consultations
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