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In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.
In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.
Findings: The five manufacturers overcharged 340B covered entities an estimated $6.1 million for sales during the one-year period ending on September 30, 1999. [ 46 ] Recommendations : HRSA should require the five drug manufacturers identify the exact amounts of the overcharges for each of the affected 340B- covered entities and apply the ...
This fact can make revenue-based financing easier to qualify for if you don’t have prime credit. Types of revenue-based financing. Revenue-based financing can come in a few different forms ...
Revenue management uses data-driven tactics and strategy to answer these questions in order to increase revenue. [1] The discipline of revenue management (RM) is also known as also known as Yield Management (YM), and is a cross-disciplinary field. It combines operations research or management science, analytics, economics, human resource ...
The purpose of profit-based sales target metrics is "to ensure that marketing and sales objectives mesh with profit targets." In target volume and target revenue calculations, managers go beyond break-even analysis (the point at which a company sells enough to cover its fixed costs) to "determine the level of unit sales or revenues needed not only to cover a firm’s costs but also to attain ...
Order to cash (OTC or O2C) normally refers to one of the top-level (context level) business processes for receiving and processing customer orders and revenue recognition. . Order to cash is an essential function in finance; the entire cycle of events happens after a customer places an order until the customer pays for the order; that is, the order is converted to c
The changes in total revenue are based on the price elasticity of demand, and there are general rules for them: [2] Price and total revenue have a positive relationship when demand is inelastic (price elasticity < 1), which means that when price increases, total revenue will increase too. Price and total revenue have a negative relationship ...