Dynamic Claims Lifecycle - Symphony Health Solutions

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Dynamic Claims Lifecycle

At

APPS & TECHNOLOGY

Align brand investment to payer influence with comprehensive, actionable, claims-based insights

Understanding the impact of payer restrictions and controls is increasingly important to managing brand growth. Pharma companies need to know:

• What level of control do payers have and how much can they move brand share?

• What is the impact of inclusion in specific formulary tiers?

• How does payer benefit design impact brand utilization?

• How often are brands substituted based on payer restrictions?

• How can rebates be leveraged to improve brand performance?

A Powerful Platform for in-depth analysis of claims-based data

Dynamic Claims Lifecycle ™ enables in-depth analysis of the influence of managed care:

• Cloud-based platform provides easy access to powerful analytics

• Deep insights and complex analysis are fully supported

• Perfect for market insights and data mining by power users

With Dynamic Claims Lifecycle ™ you can:

Benchmark your brand versus competitors within employer groups, plans, and PBMs

Optimize rebate strategies Enhance pull-through programs by prioritizing plans and territories based on potential impact

Manage payer contracting at brand and market levels

Dynamic Claims Lifecycle

Leveraging the Integrated Dataverse (IDV) ™ , including industryleading managed markets data with full prescription adjudication details and comprehensive market coverage, Dynamic Claims

Lifecycle ™ offers exclusive, actionable insights:

• Product substitution or switching due to formulary restrictions or patient pricing sensitivities

• Opportunity analysis and ROI calculations based on formulary tier placement

• Sub-plan, employer-level detail of plan benefit designs

• Pharmacy reimbursement and incentives

• Co-pay analysis by managed care plan, market, and product

POWERFUL, FLEXIBLE REPORTING FOR DEEP ANALYSIS OF

THE CLAIMS LIFECYCLE

Powered by IDV ™

Symphony Health Solutions’ Integrated Dataverse (IDV) ™ provides the most comprehensive and interconnected source of healthcare data in the industry. Bringing together near-census point-of-sale prescription data with extensive prescription, medical, and hospital claims, the IDV ™ is the foundation for all Source ® data products including PayerSource ™ .

IDV ™ offers one consistent source of the truth across prescriber, payer, and patient dimensions with specific views and tools to answer key questions and facilitate critical commercial processes within sales, marketing, and managed markets insights.

Dynamic Claims Lifecycle ™ is part of the

Symphony HealthCloud ™

Symphony HealthCloud ™ enables an unprecedented degree of access and an open model to minimize the need to manage huge volumes of data within the client enterprise. The platform provides a state of the art cloud-based infrastructure that is scalable, flexible, and offers virtually unlimited capacity.

Symphony HealthCloud ™ also supports computing resources, application logic, development and deployment environments, and the bandwidth to power data exploration and knowledge discovery.

Pre-built reports to quickly access key metrics

Multiple output options including intuitive charts and graphs

For more information, contact Symphony

Health Solutions at 215 444 8700 or visit our website at www.symphonyhealth.com

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