Formatting
The number of decimals we show for dollar amounts on proposals
What is zero?
The step taken when your claims file doesn't have the required fields for re-pricing.
What is, request a new one?
A system where feedback is provided from one analyst to another using our analyst distro.
What is peer review?
The most important first step for all proposals, but especially RFP's.
What is, reviewing ALL of the documents?
The two main sources of claims that KPCM can derive savings from.
What is specialty and non-specialty?
The major difference in dollar values between Chris quotes and standard KPS proposals.
What is positive/negative savings/calculations?
The value which remains when you subtract plan paid from gross cost.
What is member paid?
In this meeting, Analysts meet with the Manager in order to determine the scope of work before the analyst begins the re-pricing.
What is initial review meeting?
A document, created by BD, that provides all of the information about the proposal which has been communicated to the PBM's.
What is the RFP collaborative document?
We use this to support current NS savings when performing a specialty only KPCM proposal.
What is the KPCM Savings Report?
Refer to picture.
What is the contract year lengths?
A common error on the main grid, that all new analysts make, which causes the cost comparison to be underwater.
What is, pasting the incumbent data in to the PoS (or vice versa)?
KPS re-pricing and then KPCM.
What is the proper chronological order when working a KPS re-pricing and KPCM proposal?
The exhibit name used in premier proposals, where discounts, DF's, and rebates are shown in a table.
What is Exhibit C?
The acronym that described the utilization of non-brand claims.
What is the GFR?
A microsoft excel generated item that must be removed before PDF'ing.
What are error checking flags (or green triangles)?
This example, repeated by Kyle too often, has been used to illustrate how a simple error can be repeated multiple times until you take the appropriate steps to correct yourself.
What is, forgetting to remove the rebate lines from an applied KPCM proposal?
2.0% for generics and 0.5% for brands and specialty.
What are our standard AWP discount impacts on incumbent contracts?
This document captures all of the necessary information for an RFP proposal. It can be a simple word document, a multi-tab spreadsheet, multiple exhibits for support, and must always be reviewed by an analyst for possible pricing information.
What is an RFP Questionnaire.
The lives, fees, MP, incumbent PBM, link to previous quotes, and screenshots.
What are the items that must be sent to the analyst manager when requesting a increase review?
The font used on the bid overview for Chris proposals.
What is Tahoma?
This is a common error which creates inaccuracies in your KPCM specialty savings. It happens in the data tab but travels through to the combined tab.
What is, copying and pasting the incorrect or swapped values in the specialty and non-specialty spend table?
Of our many clinical programs, provided during a Chris quote, this one does not require plan paid less rebate logic.
What is FastMed?
The most important rule for RFP's that contain KPS claim line re-pricing information in the claims file that will be returned in the RFP.
What is using a true-up table to balance the difference between PBM PoS in the claims file and the ingredient cost in the Cost proposal?
$1.75 PMPM with a voluntary guarantee of $1.25 PMPM
What are the fees for a NS EGWP KPCM proposal?