ANALYTICS SCIENCE THE UNIVERSE Utilizes raw data and processes
it through vigorous analytical programs to screen for those claims
that vary from norms. ProData Analytics Engine Projections &
Forecasts Medical & Utilization Oversight Clinical Oversight
Quality Gap Analyses Financial Analyses Compliance Testing
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ANALYTICS SCIENCE A MANAGEMENT APPROACH
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ANALYTICS SCIENCE PROBLEM SOLVING APPROACH
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Top Prescribers Top Pharmacies Top Patients Key: PMPM =
Per-Member-Per-Month Key: PMPM = Per-Member-Per-Month
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ANALYTICS SCIENCE PROBLEM SOLVING APPROACH Physician Office
Visits Hospital Visits ER Visits Key: PMPM = Per-Member-Per-Month
Key: PMPM = Per-Member-Per-Month
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ANALYTICS SCIENCE PROBLEM SOLVING APPROACH Our easy to read
reports identify potential issues and weigh out the key concerns,
which provides information to make informed decisions and/or to
follow our recommendations. Diagnoses are provided Collected from
Medical Claims. Diagnoses are provided Collected from Medical
Claims. Concerns provides a reason why this patient was flagged for
our reporting. Recommendations are Provided as a courtesy.
Recommendations are Provided as a courtesy.
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ANALYTICS SCIENCE PROBLEM SOLVING APPROACH ProData Analytics
and Pro Pharma Pharmaceutical Consultants, Inc. assists Clients and
their Providers in making clinical and financial decisions with
expert management tools which increase quality of care, and
decrease costs.
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ANALYTICS SCIENCE GUIDED HELP Executive Summaries
DiagnosticsNavigation Help / FAQs
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Integrated Data MedicalPharmacyLaboratory How Does It Work?
Data is received from Health Plans, Pharmacy Benefit Managers
(PBMs), and Labs. This data is screened against benefit files.
Analyses are provided so that the Clients can filter results
according to their individual needs.
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HEALTHCARE ANALYTICS AN INTEGRATED APPROACH TO MANAGEMENT
Executive Summary Annual Trends Lines of Business Comparisons
Geographical Comparisons Population Management Pharmacy Experience
Financial Clinical CMR / MTM UtilizationSpecialty Medical
Encounters DiagnosesProcedures Location of Service Best-in-Class
How much did we spend this past month, Fiscal Year, YTD? What was
the impact of our prescribing patterns? What impact did our
patients experience based on the Location of Service, Diagnosis, or
Procedure?
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EXECUTIVE VIEW Executive Summary Annual Trends Lines of
Business Comparisons Geographical Comparisons Population Management
Pharmacy Experience Financial Clinical CMR / MTM
UtilizationSpecialty Medical Encounters DiagnosesProcedures
Location of Service Best-in-Class Annual Trends Complete Fiscal
Year or Year-To-Date Spending Line of Business Comparison Spending
Filtered Based on each plans Benefit Design Geographical
Comparisons Complete Spending Based on Geographical Location
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MEDICAL / UTILIZATION MANAGEMENT VIEW Executive Summary Annual
Trends Lines of Business Comparisons Geographical Comparisons
Population Management Pharmacy Experience Financial Clinical CMR /
MTM UtilizationSpecialty Medical Encounters DiagnosesProcedures
Location of Service Best-in-Class We provide detailed analyses from
Medical Data: Financial Impact Financial Projections Utilization
Variance Quality Variance Clinical Gaps Our data driven analyses
provides plan administrators with actionable business intelligence
by which costs can be lowered and outcomes improved.
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PHARMACY VIEW Month to Month Analysis Pharmacy Financials
Invoice Screening Accounts payable functions Financial Spending w/
Metric Filtering Benefit Costs Pharmacy Financials Financial
Spending based on Benefit Plan Design Geographical Costs Pharmacy
Financials Financial Spending based on Geographical Location
Age/Gender Summary Pharmacy Financials Financial Spending filtered
by Age/Gender descriptions Executive Summary Annual Trends Lines of
Business Comparisons Geographical Comparisons Population Management
Pharmacy Experience Financial Clinical CMR / MTM
UtilizationSpecialty Medical Encounters DiagnosesProcedures
Location of Service Best-in-Class
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COMMUNICATION Completed analyses are placed on a secure Cloud,
where they are available to Clients on demand.
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EXPERT GUIDANCE Pro Pharma has over 29 years of providing
consulting expertise to assist and guide Clients through all
analyses, illustrating the most important findings in the data to
provide information to make informed operational decisions. ProData
Analytics is powered by, and works closely with Pro Pharma
Pharmaceutical Consultants, Inc. for expert guidance to better
explain results of analyses and provide perspective.
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Analytics should be available anywhere, on-demand Healthcare
Analytics for Management On Demand Results Oriented Expert Advice
TO SUMMARIZE Within the limitations of the data Flexible to meet
the needs of executive and clinical management.