Pro Pharma Pharmaceutical Consultants, Inc., a pharmaceutical consultant organization which focuses on data analytical expertise, announces release the upgraded and re-designed Pro Pharma Cloud to existing client; which provides numerous advanced features that Pro Pharma will leverage going forward to offer clients with cutting edge data analytics and reporting.
“Pro Pharma intends to make data and analysis totally transparent and available to our clients in a timely fashion and at a reasonable cost”, says Craig Stern, PharmD, MBA, President of Pro Pharma Pharmaceutical Consultants, Inc. “The Pro Pharma Cloud is an integrated approach to identify the drivers for both financial cost and clinical solution management. It is our goal that client organizations capitalize on the benefits of enhanced access to data and reports through the application of new security, accessibility, and functional components of the Pro Pharma Cloud”.
Healthcare management professionals, including Medical and Pharmacy Directors, CEO’s, CFOs, and key departmental administrators have enhanced requirements to perform the following types of responsibilities:
- Share a common workspace with team members, store documents, and collaborate on projects;
- Submit, publish, archive, and view data—often from disparate sources, including graphic visualization of that data;
- Quickly find information that is relevant to them, their job function, and their business area;
- Manage the flow of documents and tasks through a workflow system;
- Increase data security by controlling access, inside the corporate network as well as remotely;
- Ability to filter and sort reports to customize organizational and departmental needs.
The Pro Pharma Cloud features enterprise-class, HIPAA-compliant security via our vendor’s intrusion monitoring and audit procedures. All connections to the Pro Pharma Cloud are SSL encrypted such that any intercepted communication would contain only encrypted text. Pro Pharma maintains the ability to provide a SOC2 report to any third-party auditor, on an as-needed basis.
“The Pro Pharma Cloud has been upgraded and re-designed to complement our clients’ existing reporting and IT infrastructure and features seamless integration”, states Carol Stern, CEO of Pro Pharma Pharmaceutical Consultants, Inc. She also goes on to say that “it saves time and is a more effective means to produce customized document management solutions”.
We look forward to providing increased options for drill-down and drill-through functionality, expanded browser compatibility, and secure mobile solutions designed for tablets and smartphones. Pro Pharma will continue to seek and respond to feedback in order to continually improve the quality and utility of the Pro Pharma Cloud.
About Pro Pharma Pharmaceutical Consultants, Inc.
PRO PHARMA is a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.
As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.
Pro Pharma’s Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators. PRO PHARMA markets Biotech Modeling™, Invoice Screening ™, JCode Calculator™, Quality Management Program™, Rx MAC List™, Treatment Calendar™, and Pro Pharma Suite of Tools™. The Company directly markets its products in the U.S. and collaborates with partners to reach international markets.
About Quality Management Program™ (QMP™)
Pro Pharma’s Quality Management Program™ (QMP) is a multi-faceted approach that targets the pharmacy benefit cost and quality from multiple directions; namely, physician prescribing decisions, member demands, pharmacy oversight and patient education, HR rep education, and messaging to actives/retirees. The program is focused on providing patients and physicians specific tools designed to make more informed purchasing decisions that expand member co-pay dollars. The bottom line is: payers (self-insured, employers, Trusts, etc.) lower their pharmacy trend.
About Invoice Screening™
About 10% of drugs spend is being paid from PBM Invoices, and should have been rejected by clients prior to payment. Pro Pharma’s Invoice Screening™ analyzes invoices against: formulary compliance, compliance with MAC pricing, eligibility, claims pricing, invalid claims, and excluded benefits, pre-payment as an Accounts Payable function. This ensures that clients only pay for valid claims, which saves time and dollars in the long run.
About JCode Calculator™
Pro Pharma has developed a Standardized Injectable Fee Schedule to assist with the management of claims payments. The advantage to this product is that it bases all Injectable reimbursement on AWP, WAC and ASP cost, and can be customized for drug category discounts or multiple discounts based on drug type or specialty. It includes at least one AWP for every HCPS Code and CPT code description; NDC, brand name, generic name, strength, package size, etc. This look-up reference tool provides non-pharmacist billing and claims personnel with the information and knowledge to process and reimburse claims in a timely, efficient and cost effective manner.
About Biotech Modeling™
Pro Pharma utilizes both the Medical and Pharmacy paid claims to analyze previous claims experience and to develop a model to project future trends. These issues center on the need for drug specific claims information, processing rules to ensure accurate quantities and maximum payment amounts, and rules for processing miscellaneous claims. The model can be updated with enhancements expeditiously given new Medical and Pharmacy claims experience.
Pro Pharma can identify immediate savings opportunities through re-modeling of claims processing procedures, and longer-term savings through technology assessment and utilization management. Additional research and analyses can be performed to determine the biotechnology drug driven costs in procedures, diagnostics, and provider time. It is expected that these adjunctive costs will represent an ever-larger portion of the ambulatory experience downstream.
About Treatment Calendar™
Pro Pharma’s Treatment Calendar™ is a proprietary program comprised of Artificial Intelligence rule sets, which allow for quality and cost comparisons by peer-to peer, peer-to-best in class, peer to national norms, and peer to local norms.
About MAC List™ (Pharmacy Maximum Allowable Cost™)
The Cost of Drugs is Skyrocketing. Pro Pharma develops and maintains customized MAC Lists for clients to help manage the effects of rapid and high increase of drug prices
About Pro Pharma Suite of Tools™
Pro Pharma’s Suite of Tools identifies the cost and clinical issues for both Pharmacy and Medical, and formulates management plans and objectives to develop action plans to address “prescriptions for change".