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Financial Stewardship

Proven Strategies for Pharmacy Finance Optimization

Turn financial complexity into clarity with Atomic Healthcare Solutions. We offer tailored finance optimization services to help hospitals and health systems operate not just on mission alone but also to ensure financial success through pharmacy services for cost reduction and revenue creation strategies.

Does Your Organization Have Problems With:

Rising Healthcare Costs

Balancing the need to provide quality care with the increasing cost of medications, personnel, and technology can be a major challenge.

Inefficient Resource Allocation

Unidentified areas of waste and inefficiencies can significantly impact your financial bottom line.

Unfavorable Contract Terms

Unfavorable contract negotiations can lead to missed financial opportunities and hinder long-term financial sustainability.

Sub Reimbursements and Claim Denials

These can significantly impact your revenue stream and patient care and lead to liquidity issues and increased administrative burden.

At Atomic Healthcare Solutions, we work closely with you to identify issues and develop strategies to help transform these challenges into growth opportunities.

Simple Solutions. Atomic Results.

Navigate Challenges with Our Advisory Services

Cost Reductions

Identify and eliminate unnecessary expenses across your operations, leading to improved financial efficiency and pharmacy revenue management. The rising drug costs and reimbursement reductions significantly impact hospitals and pharmacy departments. Increased expenses on essential medications and medical supplies strain budgets, while reduced reimbursements can also lead to revenue loss. To respond to the rise in labor costs posed by inflation, labor shortages, and turnover, we leverage advanced financial analytics and strategic planning to help healthcare providers optimize staffing levels, streamline operations, and mitigate the impact of increased labor expenses on their bottom line. Our tailored solutions enable organizations to adapt to dynamic market conditions, maximize resource allocation, and maintain financial stability amidst evolving labor market trends.

Our cost reduction strategies and finance optimization services for pharmacy departments also help you analyze spending patterns to identify areas where you can optimize your spending, including drug purchasing to optimize WAC vs. GPO vs. 340B accounts, drug rebate capture, reduction of drug waste, and productivity benchmarking. We also explore new streams of income, from medication adherence programs to point-of-care testing, to help you capitalize on untapped opportunities within your existing operations.

By leveraging advanced analytics and financial modeling tools, Atomic Healthcare Solutions helps you understand your current spending patterns, identify drug cost-saving opportunities, and develop strategies to manage your finances effectively.

Increased Revenue & Reimbursement

We explore and implement finance management strategies for pharmacies which involve a thorough evaluation of your existing revenue streams and reimbursement processes. We maximize existing reimbursement by reviewing price schedules, prior authorizations, and denials for outpatient infusion centers. By analyzing reimbursement data, we identify opportunities for optimization and ensure that providers receive the full compensation they are entitled to for their services. This includes scrutinizing pricing structures to align with industry standards and negotiating with payers to secure fair reimbursement rates. Through comprehensive denial management strategies, we identify the root causes of denials, strengthen your prior authorization protocols, and implement corrective actions.

Atomic Healthcare Solutions also explores innovative strategies like developing a Specialty Pharmacy Program to allow you to dispense high-cost, specialty medications directly to patients and capture additional revenue streams that traditional outpatient infusion centers or clinics might miss by evaluating site-of-care strategies.

By implementing these strategic initiatives and leveraging opportunities for revenue enhancement, we ensure your organization is financially resilient and well-positioned for sustained growth.

Contract Evaluations

Ensure your contracts with various healthcare entities are favorable, fair, and aligned with your financial goals. At Atomic Healthcare Solutions, we assist you in optimizing your relationships with Group Purchasing Organizations (GPOs) by managing contracts effectively. We evaluate existing GPO agreements, identify opportunities for optimization or renegotiation, and ensure compliance with contractual terms to maximize savings and value.

Service Offerings

Non-Labor Cost Reductions

Identify and implement strategies to minimize non-personnel expenses within your pharmacy.

Specialty Pharmacy Optimization

Enhance efficiency and profitability within your specialty pharmacy operations.

New Revenue Identification

Explore and implement new revenue streams to boost your pharmacy's financial performance.

Pharmacy Reimbursement

Maximize reimbursement capture by ensuring accurate billing and coding practices.

Pharmacy Revenue Integrity

Safeguard your pharmacy's revenue through robust financial controls and oversight.

Pharmacy Contract Review

Negotiate favorable terms and optimize existing pharmacy contracts.

Consolidated Service Center Dev/Optimization

Improve efficiency and cost savings by centralizing pharmacy operations.

Innovative Staffing Models

Explore creative solutions to optimize pharmacy staffing for cost-effectiveness.

Active 340B Program Strategy

Develop and implement a proactive approach to maximize benefits from the 340B drug pricing program.

Site of Care

Analyze and optimize medication dispensing locations for improved patient access and cost control.

Employee Health & Pharmacy Benefits

Develop cost-effective strategies for employee health and pharmacy benefits plans.

Drug Formulary Review

Evaluate your medication list and drug utilization practices for cost savings and optimal patient outcomes.

Drug Cost Reduction

Implement tactics to reduce overall drug acquisition costs.

Inventory Management

Ensure medications are available when needed but not wasted.

Biosimilar Optimization

Develop strategies to leverage biosimilars for cost-effective medication options.

GPO/WAC/340B Optimization

Optimize medication purchasing strategies through GPOs, WACs, and the 340B program.

Retail Pharmacy Growth Strategies

Develop and implement strategies to expand your retail pharmacy operations.

Physician-Based Clinic Medication Formulary Strategy

Collaborate with physicians to establish cost-effective medication formularies for their clinics.

Prior Authorization Process Review & Optimization

Streamline the prior authorization process to reduce delays and improve medication access for patients.

Drug Rebate Optimization

Maximize financial benefits from drug rebates and manufacturer incentives.

Drug Use Evaluation

Ensure medications are prescribed, dispensed, and used appropriately for optimal patient outcomes.

Capital Budget Planning

Strategically allocate resources for capital investments, ensuring alignment with financial goals and operational needs.

Staff Plans and Benchmarking

Optimize workforce efficiency by analyzing staffing levels, productivity metrics, and industry standards.

Related Posts

Pharmacy Revenue Cycle

Have you integrated Pharmacy expertise within your Revenue Cycle processes?

With the rise in overall drug costs, it’s imperative that healthcare organizations optimize their reimbursement and revenue cycle for each drug administered.

At Atomic Healthcare Solutions, we provide simple solutions that lead to atomic results. Let us help you transform the healthcare experience for both your patients and clinicians.

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