Discount Monitoring

Discount monitoring tools

Review

For providers, confirm past instances of noncompliance.

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Verify

For manufacturers, assess, coordinate and approve drug discounts.

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Discount Monitoring Tools

Review

Confirm past instances of noncompliance.

Learn more

Verify

For manufacturers, assess, coordinate and approve drug discounts.

Learn more

Total stakeholder collaboration

A solution to support the ecosystem

Kalderos works with providers, drug manufacturers and payers, including Medicaid agencies, to identify issues of noncompliance in the past through our Discount Monitoring solution. That’s why we’ve designed our tools specifically for these stakeholders.

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Discount Monitoring benefits

For manufacturers

Recover previously paid noncompliant 340B, MDRP and commercial discounts.

Collaborate seamlessly among manufacturers, providers and payers. Collaboration is critical to ensuring 340B compliance.

Have clear visibility into your discounts, at the claim level, from your provider partners through an easy-to-use interface.

From 340B to commercial to MDRP and beyond, pay the right discount in accordance with law and contract.

For providers

Kalderos’ Review tool allows teams to work together and with outside partners to provide responses to good faith inquiries.

Kalderos leverages our industry-leading algorithm to identify claims for review, placing them all in a single platform.

Support compliance recordkeeping with documentation and details of all prior responses, which are easily accessible within your Review account.

Review serves as a single source of information to reduce the complexity and administrative burden of compliance, expediting the good faith inquiry process to support program integrity.

Kalderos uses a predictive model with dozens of validations to identify claims with a high likelihood of being noncompliant.

For probable noncompliant discounts, Kalderos can conduct dispute resolution on behalf of the manufacturer, or provide them data to work directly with Medicaid agencies.

Kalderos ingests data from manufacturers and state portals.

We work with providers and states to identify issues of noncompliance in the past through our monitoring control.

For MDRP claims with high probability of noncompliance, Kalderos works with providers through the Review tool to conduct good faith inquiries.

Kalderos identifies and prevents revenue leakage, with an emphasis on managing discount stacking.