Government Pricing System Harmonization After a Merger

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Government Pricing SystemHarmonization After
A Merger
Curt Fitzgerald - Associate Director Revenue
ManagementSachin Khanna - Principal Consultant -
Government Pricing
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Government Pricing
TRICARE
340 B
GROSS
To
NET
Merger
AUDITS
or Acquisition
GE B
ManagedMedicaid
INJECTABLES
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Harmonize and Integrate Project Overview
Project Management
Plan
Analysis
Harmonize
Integrate
Verify
Key Phase Deliverables
Price Policy
System and Parallel testing
Project
Policy Alignment
changes and
interface if applicable
Schedule andScoping
- Identifyfunctional
signoff from legalMaster Data
implementation Sampling of
Calculation Transaction
Identify
calculation
Compare
Updates Data
Stakeholders
differences
(COT/Customer,
Organizational General Ledger
Communication
Legal Review of
Plan
Product)
Alignment Tie-Out
the differences
Organizational
Execution of
Single Standard Internal Audit
Source System
Impact Assess
policy changesDevelop
Operating Review
Integration
Verification Plan
Procedures PerformanceInterface
Tie-Out Monitoring
Analysis
Platform Sizing
Organizational
Re-Allocation
and Tuning
KPI
Procedures
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Pre/Post Considerations
? Back end system considerations
Environment sizing
Database advanced features - Partitioning,
Replication etc.
Price type streamlining
? Separation of domain, pricing and transactional
duplication
Customer - Customer - Customer
? Concurrent Integrations? Post Integrations
Suspended state analysis for the Orphan
System(Recuperate support costs)
Restatement plan
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Real Benefits of Harmonization and Integration
? Organizational resilience to market and
regulatory changes through the following
? Simplify
Simplification of price committee governance
Simplification of legal review
Simplification of audit support? Standardize
Training - Pricing team and systems support
teams
Customer (COT), Product, Policy, Calculation
Methods,Transactions
Single system performance improvements?
Eliminates risk through
Minimizing inaccurate data
Eliminating dual operating procedures
Minimizing complex transactions.
Tighter tie out to the general ledger
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Thank You
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