Drug Utilization and Reimbursement Analytics for Health Systems and Pharmacies

Coming Soon!

As the cost of prescription drugs increases, finding ways to optimize revenue and reduce costs has become crucial. We understand how time-consuming it is to gather data from various sources and translate it into actionable insights.

Drug utilization and reimbursement analytics create greater efficiency for health systems and pharmacies

The Utilization Analytics solution from McKesson RxO can help you track profit and loss and give you back precious time to spend focusing on what matters: your patients.

• Identify profit (or loss) for outpatient drugs so you can make informed formulary decisions
• Categorize high-cost diagnoses to identify cost drivers, compare prescribers and make changes to reduce drug costs
• Classify usage of medication by service line, prescriber, diagnosis and patient to implement and track cost-saving policies

Utilization by diagnosis and drug

• Optimize and reduce drug costs
• Identify cost drivers by diagnosis and make changes
• View prescriber variance by diagnosis or drug to identify best practices and make changes
• Monitor impact of changes on costs
• Check compliance with medication policies
• Recognize the impact of price increases on costs

Outpatient reimbursement

• Recognize opportunities to optimize profit
• Identify medications with negative reimbursement and investigate/make changes
• Compare profit margin by drug to optimize outpatient drug formulary/pathways
• View prescriber variance to identify best practices and make changes
• Monitor compliance with outpatient drug formulary
• See profitability by drug and facility
• View prescriber variance and payer mix
• Improve staff efficiency by reducing time spent gathering data