Payer Analytics

Payer Analytics

Maximize the Value of your Contract and Pricing Strategies

IntegriChain Payer Analytics helps your team assess the competitive landscape, select optimal targets, develop price guidelines, model scenarios, negotiate more profitable deals and ensure contract performance. Our platform gives you the ability to quickly forecast critical pricing variables such as the impact of price protection on deal profitability or the gross-to-net impact of a pricing action across contracts.

Contract Performance
Payer Analytics delivers a suite of pre-built reports and analytics to help your team avoid under-performing contracts and unearned discounts. These tools give you the ability to assess market size, level of competitiveness and payer controls for a given therapeutic area or channel.

 

Pre-Deal Analysis
Ahead of contract negotiations, your Payer Marketing and Contract teams can leverage Payer Analytics to gain greater negotiating advantage by modeling different scenarios and each scenario’s impact on gross and net sales, volume growth, and other performance measures.

Price Analysis
As your account teams negotiate contracts, you need data-driven solutions to rapidly compute changes in deal structure and price. IntegriChain provides tools to model the impact of alternative price protection terms for a given payer/plan and predict gross and net sales across contact and price protection schemas based on varying levels of pricing actions.

 

Post-Deal Analysis
IntegriChain Payer Analytics gives your Payer Market and Contract teams the ability to measure actual contract performance against the pre-deal forecast during or after the contract period. Performance measurements enabled by our platform for planned vs. actual include market share,

Data and Analytics to Model the Return and Impact of Rebates

  • Load and map external datasets including claims, formulary and utilization
  • Score and rank accounts by therapeutic area/class based on objective quantitative and qualitative metrics
  • Create Price Guidelines and Deal Templates by channel and segment with discount target ranges
  • Model deal scenarios to measure share shift and optimal discounts under varying assumptions
  • Forecast impact of deal on gross and net sales, volume growth and other performance measures
  • Validate Best Price is not violated by contract and potential impact of violations
  • Model Price Protection based on alternative pricing actions
  • Monitor actual vs. planned contract performance during and after the contract

Analytics and Insights Optimize Payer Contracts

We apply advanced big-data technology solutions to solve your business challenges, improve contract revenues, and optimize rebate investments. Based on decades of experience in developing best practices for managed market contracts and pricing optimization, Payer Analytics helps you optimize contract performance.

KPI vitals and guided analytics allow you to quickly identify market gaps and opportunities, including contract performance, formulary scenario planning, and competitive positioning. We answer key questions including: 

  • Which contracted customers are underperforming key measures such as product brand, channel, and market?
  • What is the expected profit margin if we increase product price and decrease rebates based on historical data?
  • Why is our formulary position in the same market and quarter disadvantaged for our top customers?

Deep Payer Insights

Payer Analytics delivers key analytics and insights to drive your payer strategy:

  • Account valuation and recommended pricing
  • Contract negotiation
    blueprint
  • Pre-deal, formulary-based
    financial analysis
  • Formulary strength reporting
  • Rebate accrual and forecasting
  • Post-deal analysis
  • Performance scorecard
  • Medicaid | managed markets forecasts
  • Business question driven reporting

Payer Analytics delivers key analytics and insights to drive your payer strategy:

  • Account valuation and recommended pricing
  • Contract negotiation
    blueprint
  • Pre-deal, formulary-based
    financial analysis
  • Formulary strength reporting
  • Rebate accrual and forecasting
  • Post-deal analysis
  • Performance scorecard
  • Medicaid | managed markets forecasts
  • Business question driven reporting

Additionally, our price protection offering allows you to project the impact of multiple deal scenarios per customer, contract segment, and product in terms of market share, profitability, and other financial metrics. 

Payer Analytics Benefits

Maximize Contract Performance

Investigate and analyze factors affecting your contracts and create formulary scenarios to maximize profitability.  

 

Optimize Rebate Investments

Create scenarios to maximize profit margin through trend analysis of product price and rebates.

 

Analyze Competitive Performance

Deep dive into performance and formulary position against your competitors. 

 

Maintain Deal Transparency

Analyze actuals against expectations and understand key drivers of trends. 

 

adapt analytics bars bell books magnify chart connections marker meds pills search computer paper webcast article blog ebook distribute hand payer heart market Asset 69 Asset 65 Asset 64 Asset 68 Asset 67 Asset 66 Asset 63 decrease expand builder close dart data demand increase index lock locked meter open order pharma pill plot prescription revenue scorecard service shake unlocked Asset 61 Asset 60 Asset 71 icon-distribution-distribution-contract-management icon-distribution-distribution-data-refinery icon-distribution-inventory-analytics icon-distribution-retail-analytics icon-patient-patient-data-refinery icon-patient-patient-services-analytics icon-patient-specialty-pharmacy-analytics icon-payer-340b-analytics icon-payer-analytics icon-payer-g2n icon-payer-government-pricing icon-payer-rebate-management Asset 1 hand hand hand hand hand hand hand hand hand hand hand