Our Consulting Services

FORECASTING AND GROSS-TO-NET

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CONTRACT ANALYTICS & PRICING

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GOVERNMENT PRICING & COMPLIANCE

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CONTRACT OPERATIONS

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LAUNCH AND M&A

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Forecasting and
Gross-to-Net

Medicaid and Managed Medicaid Forecasting

MCO/PBM Forecasting

GPO Forecasting (Including ASP)

Medicare Part D Coverage Gap Forecasting

Accrual and LBE Management

Assumptions Development (Market “Shift” and “Lift”)

“What If” Modeling (WAC, Contract Price Changes)

Contract Analytics and Pricing

Contract Performance

Payer and GPO Segmentation

Assumptions Analysis and Development

Sensitivity Analyses

Market Research

GOVERNMENT PRICING & COMPLIANCE

GP Compliance and Policy Assets

Federal Supply Schedule (FSS) Tracking Customer Analysis

Compliance Advisory

Parallel Model Development

Regulatory Guidance

Class of trade Schema and Mapping

Medicaid and Medicare Part B Reimbursement Model

Policy Development

Process Design and Reengineering

“Revenue” Leakage Analysis (including MCO/PBM Scrubbing and Rebate Calculation, 340B Diversion and Medicaid Duplicate Discounts)

Policy Development (e.g., Chargeback Adjudication cycle time)

Contract Operations

Launch and M&A

Government Programs Setup (Medicaid, 340B, FSS, Medicare Coverage GAP)

Organization Model Design

Gross-to-Net Projections

Operational Setup

Medicare Coverage Gap “Piggyback” Providers

Market Access Clean Team

Government Pricing Harmonization

Ongoing Government Pricing Calculations (Medicaid AMP and Best Price, Medicare Part B ASP and FSS Non-FAMP and Federal Ceiling Price)

Data Analysis and Mapping