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Our Methodology

Our reimbursement methodology is based on the expectation that every episode of care starts with a clinical diagnosis. From this foundation, we dedicate ourselves to delivering a transparent analysis of appropriate care that balances the lowest cost alternatives with positive outcomes for the patient.

RJ Health Systems’ data combines clinical diagnosis and procedural coding matched to the right drug and dosage, as well as the most cost efficient specialty drug price.

Thanks to this proven approach, we stand at the intersection of medical drug reimbursement and count the nation’s leading Payors, thousands of Providers and most major Pharmaceutical Manufacturers as our customers.

ReimbursementCodes

Health care organizations need to e­ffectively manage their reimbursement data at all levels of their organization to adapt to the constantly changing reimbursement landscape to curb medical drug spend. 

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RJ Analytics

Our goal is to partner with our payors to create insight into specialty drug trend and develop methods to effectively manage medical drug spend across their organization.

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Pharmaceutical Consulting

RJ Health Systems helps Pharmaceutical Manufacturers improve market access for specialty drugs.

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