Market Access
Payer
Sharpen Your Contracts. Ensure Compliance.
Contract strategy and negotiations with payers can have enormous consequences on patient adoption and profitability. As contracts are implemented, expert and efficient pricing and rebate processing are critical to bottom line. For more than a decade, Managed Markets, Contracts, and Pricing teams have relied on our expertise. Our team of deeply experienced subject matter experts, business analysts, and contract administrators allows manufacturers to scale their payer analytics and contracting functions, design more profitable contracts, create operational efficiencies, and ensure compliance throughout the contract lifecycle.
Payer Solutions
Deal
Analytics
Price
Analytics
Rebates
Processing
Chargeback
Reconciliation
340B Abuse Monitoring
System & POC
Trends
Webinar
Contracting & Pricing Product Launch Strategies for Small and Mid-Sized Pharma
IntegriChain Payer Segment Leader David Carlson draws on unique insights and best practices learned as part of dozens of successful small molecule retail and specialty product launches to analyze the most significant commercialization hurdles. Topics include contracting, negotiating discounts, pricing, and measuring channel performance.
Press Release
IntegriChain Acquires MCT, Creating Best-in-Class Government Pricing and Contracting Offering
IntegriChain will integrate MCT’s government pricing SaaS platform into its ICyte data platform, creating a best-in-class offering for Life Sciences manufacturers. This acquisition adds 35+ new brand and generic manufacturer customers to IntegriChain’s 140+ customer base.
Forecast Pre-Deal Contracts and Assess Post-Deal Outcomes
Negotiating payer contracts is often driven by instinct and emotion rather than data and quantitative business rationales. Payer Analytics removes those obstacles and provides a robust analytics solution that allows you to construct payer contracts that drive your brand including price optimization, pre-deal forecasting, and price protection scenario planning. Likewise, with contracts in place, manufacturers need to monitor and analyze performance to course correct for potential long-term issues. Through our Payer Analytics post-deal insights, you can track actual performance versus assumptions to determine if you are achieving your corporate objectives. We analyze a wide range of factors that affect performance including utilization trends, reject rates, market share, regional comparisons, and channel performance.
Analyze Price Protection Scenarios
Price protection contracts limit the degree to which a pharmaceutical or biologics price can be increased. Failure to understand the intricacies of terms can adversely impact manufacturer profitability and best price exposure in future years. Payer Analytics allows you to quickly and easily project the impact of multiple deal scenarios in terms of market share, profitability, and other financial metrics. These analytics offer visibility into the impact of differing customer, segment, and product pricing expectations.
Manage Government and Commercial Rebates
Rebates must be processed in an accurate, secure, and timely manner. We can manage this process with greater efficiency and financial predictability while structuring claims data for maximum insight and utility. Our Rebate Management Contract Ops team manages, adjudicates, and processes claims for all rebates, including commercial, price protection, Medicare Part D, coverage gap, Medicaid, and TRICARE. We ensure your rebates are processed correctly and on time. If needed, we provide data scrubbing, validation, and electronic payment services, and we support all analytics reporting requirements.
Monitor and Reconcile Chargebacks
Automated chargeback applications execute many important validations such as contract eligibility, membership verification, and price checks. Nonetheless the most obvious source of revenue leakage is not checked at all: sales and return unit quantities. Potential loss occurs when a trade partner receives a return of salable product, but does not send a chargeback reversal. Our Rebate Management Contract Ops team connects the world of channel and inventory data to chargeback claims to identify and prioritize missing or incorrect chargebacks claims.
