PHILADELPHIA CREAM, May 11, 2022 /PRNewswire/ — IntegriChain, provider of the pharmaceutical industry’s only comprehensive data, consulting and business process platform for market access, today announced that four of its contracts and pricing experts will be speaking at two upcoming conferences: the Medicaid and Government Pricing Congressdetained in person May 23-25 and practically June 1 and 2, and the Life Sciences Commercial Contracts and Chargebacks Conferenceorganized as a hybrid event May 24-25. The in-person portion of each conference will be held at the Sheraton Philadelphia Downtown. IntegriChain is a sponsor of both conferences.
Medicaid and Government Pricing Congress
State and Manufacturer Perspectives – Collaborate on Disputes and Resolutions
May 24, 11:40 a.m.
Jill KingsburyAssociate Director, Managed Services, IntegriChain
Dorine Rascoe – Division Manager, Drug Rebates and Lockbox Services, Office of Finance, Medical Care Programs, Maryland Department of Health
Cathy Burton-Meza – Associate Director, Government Rebates, Gilead
Ryan Bruce – Associate Director – Litigation and Recovery, AstraZeneca
Jeanine Lundenberg – Director, Pharmaceutical Rebate Management, Magellan Health
This panel will discuss various aspects and complexities of disputes between states and manufacturers over claims, including:
- What do States expect from manufacturers?
- What do manufacturers usually dispute?
- Best Practices for Initiating and Resolving a Medicaid Discount Dispute
- What type of documentation do States need?
- How to prepare to win litigation
Product Unit of Measure (UOM) and Understanding NDC Numbers in the Medicaid Drug Rebate Program (MDRP)
May 24, 3:45 p.m.
Linda Schock – Executive Director, Channel Operations & Government Reporting, Coherus BioSciences
Ruth Blattepharmacist – Division of Pharmacy, Disabled and Elderly Health Programs Group, Centers for Medicare & Medicaid Services (CMS) – (guest)
Heather Murphy – Senior Operations Analyst, IntegriChain
This panel will address:
- General overview of the unit of measurement and why it is important in the MDRP
- Understanding Actors and the NCPDP Billing Unit Standard
- Pricing collections
- Distribution of products in pharmacies/hospitals/clinics and government programs
- Understand the composition of an NDC number
- Interactive scenario situation for creating a dummy product and how to assign a UOM, what to look for and where to go for further information on the correct report
Life Sciences Commercial Contracts and Chargebacks Conference
Trade Category Identifications and Classifications
May 24, 11:45 a.m.
Manish RathodExecutive Director, Industry Solutions, IntegriChain
Chris JewellProduct Manager, Channel, IntegriChain
This session will identify assignments and best practices common to each class of trade, discuss challenges and brainstorm solutions, and predict downstream risks and ways to avoid pitfalls.
About IntegriChain’s contract and pricing solutions and advisory programs
IntegriChain offers a full suite of contracting and pricing solutions and advisory programs, including:
Discount management. IntegriChain provides the industry-leading managed services platform for claims resolution, processing hundreds of thousands of claims for a wide range of common charges (GPO, admin, distribution) along with modules to support different types of reimbursement (Commercial, Price Protection, Medicare Part D, Coverage Gap, Medicaid, and TriCare).
Complaint level detail. IntegriChain offers an end-to-end claims-level validation solution, including data management, script-level validation, analytics, and reporting for in-cycle dispute resolution of erroneous Medicaid claims and duplicate, using advanced data technologies, including robotic automation and mining of transform load (ETL) processes in concert with its world-class ICyte data and analytics platform.
Government pricing. IntegriChain’s Government Underwriting Managed Services provide all relevant calculations required for Medicaid, Medicare, PHS and FSS programs – expertly designed with robust data cleaning and normalization, automated data loading process and reporting comprehensive and auditable controls covering all price calculation details.
Chargeback management. IntegriChain Managed Chargeback Management Services offers a full suite of chargeback reconciliation and analysis services across GPO/IDN vendors and federal contracts such as 340B and FSS.
State Pricing Transparency Reporting Solutions
IntegriChain’s team of state price transparency experts offers a full range of reporting, monitoring and compliance services. IntegriChain offers a state-by-state process tracker that outlines when and how to report prices to comply with each state’s unique laws and regulations. The team has codified all SPTR regulations into a tool that allows manufacturers to assess the reporting implications of potential pricing actions. IntegriChain also provides comprehensive materials to facilitate communication and training within the manufacturer’s organization. Additionally, IntegriChain registers with state portals and establishes all required reporting templates and proactively monitors state price transparency legislation to provide updates, reporting, and policy support. related to compliance with applicable price transparency laws, as states may adjust reporting deadlines forward or backward when releasing new material.
Roadmap for the launch of consulting services. IntegriChain offers a proven model to successfully launch manufacturers launching new therapies, including Commercial roadmap for launchproviding pre-transaction payer analysis, pricing committee governance and support for pricing compendiums; Launch of the government compliance roadmap including a master plan of government programs, government pricing policies and methodological documents, the completed MDRP and 340B agreements and SOPs; and GTN roadmap for launch including trade flow documentation, GTN line item forecasting, channel-payer mix analysis, What If scenario modeling, and Copay and Coverage Gap funnel models.
ICyte Benchmarks: Channel Data Analogs. IntegriChain provides performance metrics based on the industry’s largest data set for thousands of therapy brands in the ICyte platform. Channel data analogs provide a clear view of the distribution, channel mix, and path to provider/patient for a competitive or analog market basket, including channel/commercial class mix.
IntegriChain provides the pharmaceutical industry’s only comprehensive data, consulting and business process platform for market access departments. We provide strategy, data, applications and business process infrastructure for market access and commercialization of therapies. More than 400 manufacturers trust our consulting expertise and the ICyte platform to orchestrate their commercial and government contracts, patient services and distribution channels. ICyte is the first and only platform that brings together the financial, operational, and business data sets needed to support access to therapies in the era of specialty and precision medicine. With ICyte, pharma innovators can digitize their market access operations, freeing up resources to focus on more data-driven decision support. IntegriChain is backed by Accel-KKR, a leading technology private equity firm in Silicon Valley. We have our head office at Philadelphia, Pennsylvaniawith offices at Ambler, Pennsylvania; New York, NY, Raleigh, North Carolinaand Pune, India. For more information, visit www.integrichain.com, or follow on Twitter @IntegriChain and LinkedIn.
IntegriChain: Jennifer GuinanSage Strategic Marketing, 610.410.8111, [email protected]