Advocacy you can depend on
At VistaRx, we’re partners who proactively work on your behalf to secure the best terms possible. We’ll work with manufacturers and payers to ensure that contracts define your eligibility for medical rebates, thereby offsetting the net cost of specialty and infusion drugs.
A zero-intervention approach
to cost management
By automating data capture and accurately channeling claims, you can maximize medical rebates and more accurately reflect the true cost of care you provide.
Payer medical policies that establish rebate eligibility
Automated claim monitoring
Transparent tracking of rebates from submission to reimbursement
Reporting that meets your timelines and requirements
Hands-on support from our expert team
Medical rebates for infusion centers
Many providers are unaware that medical rebates are available for physician-administered drugs. Few are effectively capturing these rebates.
Those who are maximizing medical rebates for their infusion center save a significant sum—tens or hundreds of thousands of dollars each year.
27%
Median rebate for specialty drugs (Tufts/CEVR)
$460+
HHS-OIG Identified Over $460M in missed Medicaid rebates from physician-administered drugs (HHS OIG)
How we’re improving the
buy-and-bill model
Our service helps infusion centers simplify data management and improve financial outcomes by working directly with payers to ensure a medical rebate program exists.
Two core practices ensure sustainable, low-effort rebate savings that otherwise require intensive administrative work from practice operators:
Policy Transparency
See and understand the policies that establish your eligibility for medical rebates across formularies and therapy classes.
Channel Accuracy
Independently review plan designs to ensure all eligible claims are submitted through the appropriate channels, lowering net operating costs.
Organizations administering specialty
drugs have never been more important
Infusion centers are rapidly becoming one of the most important sites of care in the country, administering specialty drugs to patients at a far more cost-effective rate than hospital-based outpatient departments.
As specialty drug costs fluctuate throughout the year, ensuring accurate and timely billing practices is vital for your infusion center. This is especially important for organizations utilizing the buy-and-bill model for reimbursement.
Let’s talk
Speak to one of our buy-and-bill experts to lower your expenses and ensure more complete reimbursement.
