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 providing health plans, TPAs, and employer groups actionable solutions to reduce their specialty drug spend through medical management and cost containment programs. These solutions are generated by mathematical logic, category theory and clinical algorithms to assist in the lowering of the specialty drug spend while improving the patient journey.


Yupana's founders have experience running various pharmaceutical dispensing platforms to include Specialty Pharmacy, Infusion Centers, Retail Pharmacy Chains, Outpatient Hospital Pharmacies, and pharmaceutical compounding facilities.   This knowledge has been leveraged to construct a functional database that provides clients actionable solutions to better manage their specialty drug spend through analytical research and informatics.  Yupana’s ability to conduct data mapping of both pharmacy and medical data allows clients the opportunity to better understand their specialty drug spend within their health plan.

Yupana Health is a technology driven company providing health plans, TPAs and employer groups actionable solutions to reduce their specialty drug spend through medical management and cost containment programs.

Yupana’s ability to conduct detailed data mapping of both pharmacy and medical data allows clients the opportunity to better understand their specialty drug spend within their health plan or employer group.

Yupana analyzes billions of data points and uses Your Company's specific requirements to produce actionable recommendations and reports.

Pharmacoeconomic Analysis & Waste Prevention

Visibility and predictive modelling of a client's overall drug spend across both the pharmacy and medical benefit is core to Yupana's Pharmacoeconomic Analysis offering.

Clients can access functional dashboards through a secured portal to review their current and future drug expenditure. The dashboards powered by Yupana's powerful functional data base allow for disease specific or therapeutic class analytics detailing micro-level statistics on pricing fluctuations, provider network performance and patient adherence all while calculating the PMPM and PMPY impact

Yupana Health has designed priority auditing algorithms which are deployed against both pharmacy and medical claims to identify Waste, Fraud and Abuse associated with specialty drug utilization.

This technology reviews various aspects of the claim to identify billing and calculation errors, inappropriate Site of Care locations, off-label utilization along with other cost containment Key Risk Indicators (KRIs).

The M3 program allows clients the ability to create a new monetary revenue stream while lowering the overall drug cost associated with targeted specialty drugs billed under the medical benefit.

Yupana's program rewards clients for, accurate coding, clinical compliance along with the appropriate utilization of biosimilars or therapeutic equivalent products.   With more than 60 eligible drugs, Yupana can help clients create revenue streams within their medical benefit with both Open Formulary and Managed Formulary options.  

We Create Solutions to Fit Your Specific Needs