Contact us to ensure that you stay on top of payer contracting and drug pricing for enhancing your revenue management.

1. How To Stay On Top Of Payer Contracting
And Drug Pricing?
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The contracts between insurance payers and pharmaceutical
manufacturers are here to stay in the medical world. In the last few
years, these value-based contracts have been growing. Not only that,
these are bringing in higher payment rates in the process of improving
the outcome for the patients. They are also supplanting the traditional
contracts in which rebates on the payments were based on volume and
the formulary.
What Is Payer Contracting & Drug Pricing?
Theoretically, the 'at-risk' or value-based agreements are developed for
positive development. The pharmaceutical companies in such a scenario
uphold the performance of the drugs with these contracts. The process
allows the medical facilities to offer the best service and results to the
patients.
However, the reality has been a bit different. These contracts have been
based on un-advanced volumetric math, making them a value-based
idea but not fully functional. It is because manufacturers are still working
on achieving a simple volumetric percentage.
Read more..

2. How To Stay On Top Of Payer Contracting
And Drug Pricing?
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

3. How To Stay On Top Of Payer Contracting
And Drug Pricing?
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How To Stay At Top?
When it comes to speciality healthcare - staying at the top of the payer
contracting and drug pricing is essential, even when the value-based
agreements offer a limited scope. In addition, since most speciality
healthcare has used cutting-edge pharmaceutical and other therapies at
the high end of the cost spectrum, maintaining revenue cycle
management (RCM) is essential.
In such a scenario, the provider and the payer want to ensure that the
patient has access to the treatment without getting embroiled in the
challenges that plague the value-based agreements.
As part of the innovation and incorporation of the latest technology, the
healthcare system has been changing at a rapid pace. More than ever, it
has become essential to monitor spending. Hence the payers change
the reimbursement rates for the drugs frequently. For instance, the
Centres for Medicare and Medicaid Services (CMS) update their drug
reimbursement rate every quarter for Medicare. Unfortunately, it results
in many payers of the nation following the same schedule, thus leaving
the providers of speciality healthcare to scramble for constant
adjustments.

4. How To Stay On Top Of Payer Contracting
And Drug Pricing?
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
It needs to be taken into account that even a tiny adjustment in the rate
of a high-cost drug can cause a predicament to the financial health of a
practice. Therefore, the providers must maintain comprehensive visibility
into the contract of the payers, their payment rates, and the population of
the patients all the time.
One of the critical steps in staying on top of the payer contracting is to
have an RCM solution with features that are highly capable of contract
management. It should be able to differentiate a flexible reporting
system and take the necessary steps to manage the contract of the
payers while updating the drug pricing. Given the expectation in the
healthcare system today with high service volume, it is vital to leverage
the best RCM system to streamline the work process and improve
productivity by reducing the burden on the administrative staff. It should
also be able to offer flexible adjustments to different financial projections,
support compliance reporting, and be a sustainable solution in the
frequently changing medical environment.

5. How To Stay On Top Of Payer Contracting
And Drug Pricing?
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
How To Ensure You Are Doing It Right?
These are the solution to stay on top of the much-complicated payer
contracting and drug pricing issues. But we know following these could
be pretty challenging. In such a case, contact the 24/7 Medical Billing
Services with the best RCM software and a dedicated, experienced
team in medical billing and coding to ensure that your revenue
management is on the top. Then, based on the speciality care and the
facility's requirement, we will develop the RCM that can offer the best
results for your practice while ensuring you can scale better with
improved ROI.

6. About Us
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
We are a medical billing company that offers ‘24/7 Medical Billing
Services’ and support physicians, hospitals, medical institutions and
group practices with our end to end medical billing solutions. We help
you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow
physicians to attract additional revenue and reduce administrative
burden or losses.

7. Contact Us
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA
Ohio
28405 Osborn Road, Cleveland, OH 4414030068
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax : +1 888-502-0537
Email us: info@247medicalbillingservices.com