Discount Monitoring

Systemic collaboration

Time-saving tools for all stakeholders

With the Verify tool for manufacturers and the Review tool for providers, Discount Monitoring enables communication, collaboration and clarity across drug discount programs.

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Expansive visibility

Both historic and real-time insights

Using machine learning techniques that scale to the size of any organization, Discount Monitoring uncovers past noncompliance and also identifies new noncompliant claims.

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Discount Monitoring benefits

For manufacturers

Gain complete insight into which claims you owe and which you don’t, so you can dispute noncompliance with confidence.

Give your accounting team the data-supported knowledge they need to make informed forecasts and optimize your spend.

Recover previously paid noncompliant discounts, and make more accurate payments going forward.

Join with providers and payers on a platform that connects all drug discount stakeholders to work together for the good of patients.

For providers

The Review tool simplifies your workflow by combining all your good faith inquiries into a single, streamlined touchpoint with simple “yes or no” response options.

Leverage the Kalderos platform’s advanced algorithms to view your high-risk claims, enabling identification of noncompliance that random sampling might miss.

With your historical data set at your fingertips, you can easily document your prior responses and record of good faith.

Your collaboration helps ensure the lasting integrity of the 340B program so it can continue to support safety net providers and the patients that need you.

Using techniques from machine learning, the platform automatically runs dozens of validations to identify claims with a high probability of noncompliance.

Robustly validated data empowers all stakeholders to manage drug discounts with greater transparency and accuracy, so drug discount programs work as intended to serve patients.

The Kalderos platform ingests and analyzes claims level data from both public and proprietary sources.

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

For likely duplicate discounts between Medicaid and 340B, the Kalderos Review tool facilitates simple, streamlined good faith inquiries that make the provider workflow easy.

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

Drawing on our relationships with safety net healthcare providers, state Medicaid offices and pharmacy benefits managers (PBMs), Kalderos can assist in resolving disputes.

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