Revenue Management for PDPs
PDP's Revenue Management
Prescription Drug Plans must be every bit as attentive to the core issues of revenue and member management as managed care organizations. And with a dramatically limited abililty to drive clinical interventions, the risks associated with this membership are amplified. In the last few years, many PDPs have seen their medical loss ratios creep up as the organization focus on getting product administration right has outweighed the attention to benefit management.
GHG helps PDPs optimize revenues by providing tools and analytics, backed by expert advice and staffing support, to reconcile Prescription Drug Event (PDE) data and membership and enrollment data to reduce PDPs’ financial liabilities. We also work with your plan to ensure that aggressive pharmacy management and member outreach programs are in place.
For more information, please click on the links provided or contact us directly today at ghg@gormanhealthgroup.com or by phone at 202-364-8283.
