Why rebates matter more than ever
For payers and patients, infusion centers are becoming more important, offering lower costs than hospital-based settings and greater convenience for patients.
But the business side is complex. Drug prices fluctuate, billing rules are complex, and infusion centers miss out on dollars they’re likely already eligible for.
Medical rebates: explained
When certain specialty drugs are administered, manufacturers offer rebates to offset costs. These rebates are only paid if the claim is filed correctly and supported by payer policies. The reality: most centers don’t capture all of their eligible rebates.
Cost management made for the buy-and-bill model
Vista’s solution is purpose-built to provide sustainable, compliant rebate revenue for specialty providers and infusion centers. We work with payers to ensure policies are in place to lower net costs for specialty drugs and provide a transparent workflow so clients can monitor savings.
01
Infusion center
administers the drug
02
Claim submitted
to payer through VistaRx
03
Vista adjudication engine
validates claim, applies correct policy basis, flags rebate eligibility
04
Payer
reimburses + confirms rebate path
05
Manufacturer rebate
delivered back to provider
Better buy-and-bill margins happen with Vista
Policy assurance
We work with payers to ensure policies establish your rebate eligibility from the start.
Expert plan reviews
Our team independently verifies plan design so no rebate opportunities are missed.
Real-time automation
Claims are validated instantly, removing manual chase and reducing errors.
Financial clarity
Real-time feedback and flexible reporting give you visibility into both costs and workflows.
Compliance and workflow efficiency
Purpose-built technology keeps billing accurate and sustainable.
Dedicated advocacy
We act as a partner in payer and manufacturer conversations, protecting your bottom line.
