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Pharmacies and PBMs face a myriad of changes that are driving reinvention of business operating models—regulatory and demographic changes, consumerism, technological advances, shrinking margins in core revenue streams and commoditization of services. The best way to deal with these changes is by being able to rapidly build distinctive capabilities and optimize existing operations.
Team should help retail, specialty and mail order pharmacies and PBMs understand the impact from fast-paced industry developments and rapidly respond to changing market dynamics.

Abilities

Regulatory Compliance

Team should help healthcare organizations evaluate the impact of regulatory requirements and implement supporting solutions to help ensure compliance.

  • ICD-10
  • Medicare Part D compliance
  • NCPDP D.0 compliance
  • Controlled substance dispensing
  • Patient compliance

Health Intelligence and Analytics

The ability to access and leverage data is changing the way business decisions are made, with rich insights enabling evidence-based decision-making and proactive planning. Team should provides expertise on the data that should be collected across a wide range of attributes affecting pharmacy and PBM businesses, helping customer make well‑informed decisions.

  • Analytics strategy
  • Process innovations

Investigative Services

Enabling organizations to identify and resolve intentional and unintentional errors or verify the absence of both is critical. With significant dollars being lost to fraud and abuse each year, investigation and recovery efforts are critical to an organization’s overall financial health.

Operational Improvement

Team should help healthcare organizations drive cost reduction and revenue enhancement through improved efficiency and effectiveness and process transformation.

  • Best-in-class series (Claims, Enrollment, Medical Management)
  • Requirements
  • Product evaluation and selection
  • Operational readiness (BPS)

Consumerism

New consumer-focused operating models in healthcare demand a shift in thinking, requiring many companies to go from a B2B to B2C focus. Team should help healthcare organizations understand the requirements for health benefit exchanges, manage the patient and member experience with solutions that drive engagement and help build effective strategies for member identification and retention. Services span these areas:

  • Customer engagement
  • Customer experience
  • Customer retention

Implementation Services

Complete project and IT implementation and support services, including:

  • systems modernization
  • Administrative, claims management, clinical and electronic health record implementations
  • Custom development and maintenance
  • Systems integration and program management
  • ERP and CRM systems
  • Data warehouses
  • E-health, self-service applications and portal development

Other Segments

Providers

Innovative services and solutions to help organization deliver coordinated, quality care and improved financial performance.

Payers

How will organization transform to deliver greater value? Help needed to implement process improvements, increase innovation and...

Government and Public Health Management

How will you balance competing priorities and manage member volume? Need help to adapt to the unexpected requirements the future...

Our Sucess

Clients & Client talks








112 South Tryon Street Suite 755 Charlotte, NC - 28284
704-332-8422
704-332-8421
askus@pantarsolutions.com
100 Overlook Center 2nd Floor, Suite 200 Princeton, NJ 08540
609-945-3449
704-332-8421
askus@pantarsolutions.com
PANTAR IT Services 6th Floor, B-Wing, Melange Towers Patrikanagar, Madhapur, Hitech City Hyderabad-500 081, INDIA
+9140 6544 3456
704-332-8421
askus@pantarsolutions.com