About TPG Data Services

TPG Data Services and our team of senior healthcare and clinical consultants are transforming the way providers and payors monitor healthcare information to control costs and enhance efficiencies.

The TPG-DS team are experts at leveraging medical and pharmacy data to render advice and solutions for better patient care and to manage better outcomes. Given the emergence of new delivery and reimbursement models and the convergence of payers and providers, access to robust clinical analytics can play a major role when making clinical decisions.

TPG-DS delivers meaningful insights into patients and members care including cost, resources, and efficiency measures via clinical validated models and data attributes to help improve outcomes, with the goal of improving financial performance.

We deliver strategic insights to C-suite level executives at payors and employers to better address specific patient populations and render advice to assist with clinical decisions. Our tools also work to support Medication Therapy Management (MTM) and Comprehensive Medication Review (CMR) programs

 

 

 

In a complex and ever-changing healthcare environment leveraging analytics has the power to transform healthcare. Trust TPG Data Services (TPG-DS) experts and our proprietary suite of data analytics tools to help payors and employers make smarter decisions to better manage limited resources and reduce costs.

Fraud, Waste, and Abuse (F/W/A) Prevention

Given the recent trend of CMS becoming more vigilant in the Fraud, Waste, and Abuse arena, get proactive and implement the latest tools and expertise to combat F/W/A practices. The TPG-DS approach uses analytics to predict, monitor, identify, and ultimately work to effectuate change relating to potential F/W/A practices.

Most systems only analyze paid claims while TPG-DS examines a total situational view of all claims that led up to a paid claim searching for critical patterns.  Our tool can be custom-tailored to meet your business priorities – whether monitoring prescribers, pharmacies, or member activities – reviewing all claims generated by the nexus of the member, provider, and pharmacy.

Utilizing our automated tool takes the hassle out of the time consuming practice to monitor F/W/A while identifying and communicating how to proactively change behavior to bend the cost curve.

We work closely with payors and employers with the goal of avoiding waste and calling out fraud and abuse with actionable and direct communications to the potential prescriber, pharmacy, or member in a timely manner.

Financial Auditing and Analytics

TPG-DS conducts a comprehensive analysis of claims data to quickly examine contract compliance, while identifying past financial claims errors to save you money.

Assess brand and drug pricing, rebate program adherence, prior authorization validation, and many other claims data points all at the touch of a button.  Powered by the TPG-DS Claims Invoice Snapshot Tool, our clients:

  • Reduce the complexity and time behind sifting thru volumes of data
  • Deliver actionable advice to assist C-level suite decision-making
  • Report automatically based on needs, yielding cost reduction opportunities
  • Benefit from drug pricing expertise from TPG-DS financial and clinical performance experts

Don’t miss the chance to integrate a turnkey technology solution without the hassle of investing in additional IT resources.