The short version: Training teaches you to run the process. Education teaches you why the process exists. NextGen GTN™ exists because Finance, Market Access, Trade and Patient Services can each be right inside their own function while the number still misses, and no one has taught them the same event from both sides. The curriculum […]
The short version: Gross-to-Net variance is not a finance problem. Finance is held accountable for a number produced by decisions it did not make: how the population was sized, how the contract was written, how the network was negotiated and how affordability was designed. The fix is for Finance to move upstream and ask, before
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The short version: Copay spend is growing and volume is not because accumulator programs strip the assistance out of the deductible. The patient hits the full deductible after the card runs dry while the manufacturer’s spend stays the same. Track four things on one page: cost per persistent patient rather than per enrollment, actual accumulator
The short version: Net price can fall without a single price change because the patient changed address. Most 340B growth is utilization, not price, and every unit that moves through a covered entity instead of another site of care carries a lower net price that shows up months later. Ask three questions each quarter: what
The short version: A rebate buys a position on a formulary. It does not buy a patient on therapy. Prior authorization removes roughly a quarter of targeted utilization, and about half of those patients do not switch, they abandon, which no market share report records. Before accepting the next contract, price the coverage against patient
The short version: A forecast is a claim about people, and most forecast populations were never real in commercial data. Only a fraction of a prevalent population is diagnosed, treated and controlled, and the rest produce no data or misleading data. Name which stage of the cascade the forecast is actually claiming, assign an owner
