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Proximity Health

Proximity provides an automation platform that helps healthcare organizations maximize revenue from the 340B drug discount program. Their solution streamlines compliance and optimizes drug procurement and dispensing processes to ensure eligible entities capture the full financial benefits of the program.

Founded 20235100+ followers
Updated 15 months ago

Funding

$3M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.

Funding rounds are not available yet.

Founders

Product

Problem

Healthcare providers participating in the 340B drug discount program face challenges in navigating complex compliance requirements, managing data across multiple systems, and identifying opportunities to maximize revenue. This complexity can lead to missed savings and increased administrative burden, impacting their ability to serve vulnerable patients.

Solution

Proximity offers an intelligent automation platform that centralizes data from various sources, including EHRs, TPAs, and wholesalers, to optimize 340B program revenue. The platform streamlines claims management, automates revenue recovery, and ensures compliance with patient eligibility and HRSA guidelines. By providing a comprehensive view of the 340B program, Proximity enables healthcare providers to make data-driven decisions, mitigate manufacturer restrictions, and improve collaboration across pharmacy, finance, and compliance teams.

Target Audience

Proximity primarily serves Federally Qualified Health Centers (FQHCs), Critical Access Hospitals (CAHs), Disproportionate Share Hospitals (DSH), children’s hospitals, and other safety-net providers participating in the 340B program.

Features

  • Centralized data hub integrating EHR, TPA, and wholesaler data for a unified view of the 340B program
  • Automated claim auditing and remediation to identify and recover missed revenue opportunities
  • Real-time NPI list modification to ensure accurate prescriber management
  • Contract analysis tools to simulate the impact of TPA, CP, and wholesaler contract terms on program revenue
  • Continuous monitoring of encounter feeds to ensure proper patient eligibility rules are applied
  • Integrated compliance review system to assess data for remediation potential and adherence to HRSA guidelines
  • Customizable dashboards providing insights into program performance, revenue trends, and compliance metrics
This profile is AI-generated and may contain inaccuracies.