Overview

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.

Panaromic helps retail, specialty and mail order pharmacies and PBMs understand the impact from fast-paced industry developments and to rapidly respond to changing market dynamics.

Capabilities

Regulatory Compliance

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

• ICD-10
• Health Insurance Exchanges
• PPACA/HCR
• Dual eligible
• Medicare Advantage
• MITA 3.0

Integrated Health Management (Health 2.0)

Panaromic helps healthcare organizations evaluate, prepare and implement the transformational programs necessary to provide coordinated, comprehensive care for patients and consumers.

• ACOs
• mHealth
• Health Insurance Exchanges
• RECs
• Care coordination /management

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. Panaromic helps healthcare organizations integrate multiple data sources and technologies to increase productivity and drive collaboration.

• Analytics strategy
• HEDIS
• ACOs
• Process innovations

Investigative Services

Identifying and resolving intentional and unintentional errors or verifying 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. Panaromic can help with:

• Audits
• Over/under payment recovery
• Fraud and abuse

Operational Improvement

By introducing IT-enabled processes, organizations can reduce costs while improving process efficiency and effectiveness. At the same time, these processes can drastically improve overall patient and/or member satisfaction. Panaromic's expertise includes:

• 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, often moving from a B2B focus to a B2C focus. We help healthcare organizations understand the requirements for health benefit exchanges and manage the patient and member experience with solutions that drive engagement and help build effective strategies for member identification and retention.

• Customer engagement
• Customer experience
• Customer retention

Implementation Services

We offer complete project and IT implementation and support services, including:

• Legacy 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
• ehealth, self-service applications and portal development