Yupana has updated your dashboard with the most recent quarterly claims data.   Please note that you can now drill down to physician level drug utilization. 

Customers,

Yupana Health is a technology driven company that delivers utilization management solutions for healthcare underwriters and risk bearing entities to reduce drug cost while improving patient outcomes through formulary optimization, utilization management and pharmacoeconomic insight.  These solutions are powered by advanced mathematical logic, category theory and clinical algorithms, enabling cost reduction while enhancing the patient experience.

The Yupana team brings extensive experience from operating various pharmaceutical dispensing platforms, including Specialty Pharmacy, Infusion Centers, Retail Pharmacy Chains, Outpatient Hospital Pharmacies, and pharmaceutical compounding facilities. This expertise has been instrumental in building a robust technology platform that provides actionable solutions to improve the patient journey resulting in successful clinical outcomes.

Yupana Health leverages their technology driven platform providing actionable solutions to reduce drug spend through formulary optimization, utilization management and pharmacoeconomic insight.

Yupana’s capacity to intricately map dispensed and administered claims empowers clients to gain a deeper understanding of their drug expenditures within their patient population.  

The Yupana platform ingests and analyzes billions of data points to produce custom solutions based on disease prevalence and drug utilization.

Utilization Management & Formulary Optimization

Making Healthcare More Affordable, One Claim at a Time 

Take Control Of Your Specialty Drug Spend

We Help You Establish Customized Utilization Management Programs

Self-Funded & Mutually Funded Risk Bearing Entities

Partners can access functional dashboards via a secured portal to review both current and projected drug expenditures. Powered by Yupana’s analytical platform, these dashboards provide disease specific and therapeutic class utilization analytics, offering detailed micro-level insights on pricing fluctuations, provider network performance, and patient adherence trending.  Additionally, this advanced algorithms calculate the impact on PMPM (Per Member Per Year) and PMPY (Per Member Per Year)

 Yupana Health has designed priority algorithms which are deployed against both dispensed and administered claims to support an array of customized services.  This technology reviews various aspects of the claims to identify billing and calculation errors, inappropriate Site of Care locations, off-label utilization, disruptions in drug adherence, along with other cost containment areas within the Utilization Management program.

Yupana maximizes the effectiveness of appropriate drug utilization, balancing considerations such as cost, efficacy, and patient outcomes to achieve the best overall value.

Yupana’s program rewards Partners for accurate coding, clinical compliance along with the appropriate utilization of biosimilars or therapeutic equivalent products.  With an extensive drug product portfolio, Yupana can help Partners reduce their drug expenditures with both Open and Select Formulary options.

We Create Solutions to Fit Your Specific Needs