Our Clients
We're proud and inspired by the transformative work we've accomplished with our clients, driving innovation, improving outcomes, and shaping the future of healthcare together.
Use Cases
Unlocking $2M Savings for the Nation’s Leading Physiatry Provider
Situation
The country’s largest physiatry provider was evaluating whether to continue outsourcing their claims management process or transition operations in-house. Rising costs and inefficiencies in the current process raised concerns about long-term viability and potential missed savings opportunities.
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Action
PPM conducted a comprehensive assessment to evaluate the financial and operational impact of insourcing claims management. This included analyzing the potential ROI and uncovering an opportunity to save $2 million annually. As an added value, PPM also facilitated an RFP process to benchmark and evaluate alternative claims providers, ensuring the client had the most competitive options available.
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Result
PPM delivered a data-driven recommendation that empowered the client to make an informed decision about their claims management strategy. This not only positioned the provider to achieve significant cost savings but also ensured they had the insights needed to optimize their operations and enhance long-term efficiency.
Uncovering the Truth Behind False Positives: Ensuring Accuracy in Drug Screening Results
Situation
A healthcare provider faced a significant challenge when a patient’s urine drug screening (UDS) returned positive for multiple illicit substances, despite the patient being prescribed several routine medications. The unexpected results raised concerns about potential cross-reactivity and inaccuracies, risking patient care and trust.
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Action
Premier Pharma Mentors conducted an in-depth evaluation of the patient’s prescribed medications, cross-referencing over 60 case studies on drug interactions and UDS cross-reactivity. The team identified key medications, such as antipsychotics and antidepressants, that could mimic the detected illicit substances due to structural similarities. Using a data-driven approach, they recommended confirmatory testing methods (e.g., LC-MS/MS) and provided evidence-based guidance to address inaccuracies and reduce the risk of misinterpretation.
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Result
This thorough analysis uncovered the root cause of the false positives, enabling the healthcare provider to resolve the immediate issue and refine their testing protocols. By ensuring accuracy and reliability in drug screening results, the organization safeguarded patient care and built a foundation for improved diagnostic practices.
