With all the changes in healthcare, your pharmacy needs a partner to successfully navigate the managed care maze. AmerisourceBergen knows your business, and our PSAO, Elevate Provider Network, provides solutions to help you maximize profitability, improve operational efficiency and enhance patient care. Our system tailors an optimal payer network model that negotiates the most effective contracts for your pharmacy—contracts that balance the need for patient access and profitability. An intuitive pharmacy analytics and benchmarking system help you make better day-to-day decisions while our experts handle a range of managed care issues for you. With this unique combination of analytics, technology, and professional services, Elevate Provider Network is strengthening our members' presence in managed care and providing a smarter path to profitability.
Advocacy: Partnering to Champion the Independent Voice
AmerisourceBergen feels so strongly about the importance of your voice and role as a health care provider in your community that we have a dedicated government affairs team in Washington, D.C., working tirelessly to support independent pharmacies across the U.S. healthcare delivery system. We are committed to advocacy with legislative and regulatory bodies to ensure you can continue to do what you do best, providing quality patient care in the vitally important community setting.
Payer Contract Negotiations
Elevate Provider Network’s data-driven approach allows us to model and negotiate smarter payer contracts on your behalf. This means you maximize your prescription profitability while reducing administrative time and maximizing staff productivity, so you can spend time on patient care. Driven by our own proprietary pharmacy analytics system, Elevate Provider Network has a long-term, sustainable strategy for managing the impact of preferred cost-share networks. We are highly selective when considering the plans we join at the preferred or the standard cost-share level, based on their terms of participation and patient incentives, to ensure our independent pharmacy customers can continue to serve their communities. Our managed care network is 4,600+ members strong, and we negotiate contracts with 50+ PBMs for more than 7,500 plans. Together, a strong and healthy network elevates our members’ presence in managed care.
A Multi-Faceted Approach to DIR Fees
Pre and Post Edit Services
As a member of the Elevate Provider Network, you’ll have access to a comprehensive pre and post edit solution that works with your pharmacy system. Powered by Change Healthcare (formerly Emdeon), think of it as spell-check for your claim submissions—a double check to make sure pharmacy system submits everything cleanly. With real-time edits for financial, administrative and legal compliance, as well as a customized suite of edits available only under this program.
Reconciliation Services are powered by FDS, a leading vendor in reconciliation services, and are included in your membership. This enables pharmacies to easily view their cash tied up in receivables and to simplify and systematically conduct the critical task of reconciling third party payments. It verifies third-party payments, pinpoints underpaid claims, prevents missed checks from going unnoticed and includes tools to help you chase claims, all designed to help you avoid write-offs. And, because it is part of our interoperable suite, you don’t have to pay extra to have your claims imported into the reconciliation system.