Overview
The largest independent U.S. PBM, which provides 340B program services to help covered entities maximize savings and maintain compliance, wanted to develop an integrated system that combines discount and rebate management while automating regulatory compliance, as manufacturer requirements and rebate platforms grew increasingly complex.
Challenges
PBM wanted to solve the following challenges hospitals were facing:
- Manual claim-capturing caused inefficiencies and bottlenecks for hospitals.
- Increasing violations and compliance issues identified during HRSA audits posed challenges for hospitals.
- Non-standard claim formatting and manual submissions to Beacon and ESP caused delays and errors.
Results Delivered
We developed a 340B claim rebate management platform that increased their user adoption to 92% and helped hospitals in:
Reduction in manual processing time
HRSA audit compliance with zero violations
Security incidents
Increase in user adoption rate
Partnering with PureLogics changed how we handle 340B compliance. Their cloud-first approach and regulatory insight delivered unmatched accuracy, zero audit issues, and a leaner, more efficient operation. We recommend them!”