Paragon Solutions, Inc. Proprietary
Government Pricing System
Harmonization After A Merger
Curt Fitzgerald – Associate Director Revenue Management
Sachin Khanna – Principal Consultant – Government Pricing
Paragon Solutions, Inc. Proprietary - 2 -
Government Pricing
340 B TEXAS PRICE
POINTS
INJECTABLES Managed Medicaid
AUDITS
GENERICS Vs
BRAND
GROSS To
NET
TRICARE
STATE EXCHANGES
Merger or Acquisition
Paragon Solutions, Inc. Proprietary - 3 -
Harmonize and Integrate Project Overview
Project Management
Plan Analysis Integrate Verify Harmonize
Key Phase Deliverables • Project
Schedule and Scoping
• Identify Stakeholders
• Communication Plan
• Organizational Impact Assess
• Verification Plan • Platform Sizing
and Tuning
• Policy Alignment - Identify functional calculation differences
• Legal Review of the differences
• Source System Integration Analysis
• Re-Allocation Procedures
• Price Policy changes and signoff from legal
• Master Data Compare (COT/Customer, Product)
• Execution of policy changes
• Develop Organizational KPI
• System and interface implementation
• Calculation Updates
• Organizational Alignment
• Single Standard Operating Procedures
• Interface Tie-Out
• Parallel testing if applicable
• Sampling of Transaction Data
• General Ledger Tie-Out
• Internal Audit Review
• Performance Monitoring
Paragon Solutions, Inc. Proprietary - 4 -
Pre/Post Considerations
Back end system considerations
• Environment sizing • Database advanced features – Partitioning, Replication etc. • Price type streamlining
Separation of domain, pricing and transactional duplication • Customer - Customer - Customer
Concurrent Integrations Post Integrations
• Suspended state analysis for the “Orphan System” (Recuperate support costs) • Restatement plan
Paragon Solutions, Inc. Proprietary - 5 -
Real Benefits of Harmonization and Integration
Organizational resilience to market and regulatory changes through the
following: Simplify
• Simplification of price committee governance • Simplification of legal review • Simplification of audit support
Standardize • Training – Pricing team and systems support teams • Customer (COT), Product, Policy, Calculation Methods,
Transactions • Single system performance improvements
Eliminates risk through: • Minimizing inaccurate data • Eliminating dual operating procedures • Minimizing complex transactions. • Tighter tie out to the general ledger
Paragon Solutions, Inc. Proprietary - 6 -
Thank You
Paragon Solutions, Inc. Proprietary - 7 -
