Developing an effective Medicaid strategy and validating claims associated with participating in the Medicaid Drug Rebate Program, requires not only access to comprehensive Medicaid data but also experience working with, and expert knowledge of, the continuously evolving state policies associated with the program.
Our Data Niche Associates team provides the combination of industry-leading data, expertise, and technology essential to delivering results for our clients.
Contact us and let's work together to develop your Medicaid strategy and reduce your risk of revenue leakage.
Considering that one out of every five U.S. patients is covered by Medicaid, it is critical that you manage Medicaid exposure and only pay rebates based on valid Medicaid claims.
Our OutlierView solution is the only tool of its kind designed specifically for Medicaid and the unique challenges associated with participating in the MDRP. Featuring claims level Medicaid data and robust validation logic and reporting including 340B and commercial managed care, OutlierView is an easy-to-use software solution that allows any user to validate Medicaid claims quickly and confidently, reducing revenue leakage and improving operational efficiency. Contact us to learn more.