Sun Knowledge to attend Annual Drug Benefit Conference in Phoenix

Sun Knowledge, Ltd., a leading Healthcare Insurance provider of Knowledge Process Outsourcing (KPO) services, will attend the Pharmacy Benefit Management Institute’s Annual Drug Benefit Conference in Phoenix, Az., from February 17-19. The company will be found at booth #12 at the Pointe Hilton Tapatio Cliffs Resort.

Sun Knowledge employs top experts in the fields of pharmacy, medicine, IT and security. They have developed multiple in-house solutions that provide customized end-to-end services while concentrating on data security, automation, scalability and interconnectivity. With a proven track record, Sun Knowledge provides these quality services at 50-60 percent less than current SG&A rates for Medicare, Medicaid, PBM, and Commercial Insurance operations. All of their programs meet and exceed all federal, state, and regulatory requirements.

Within the PBM industry, Sun Knowledge enables their clients to expand their product offerings to their PBM’s Medicare and Commercial clients, lower their operational cost, maintain better controls on rebates, and significantly enhance their reporting and data management capabilities.

Among Sun Knowledge’s services for PBMs include:

• Medication Therapy Management, compliant with all CMS 2010 requirements, is supported exclusively by their in-house physicians and pharmacists to complete “brown bag” reviews for beneficiaries meeting their client’s specific requirements. This system also incorporates claims data to assist with these reviews and automatically identifies drug:drug interactions, over/under-utilization of prescription usage, disease state and vaccination history. This proprietary software also has a powerful analytics engine that enables the user to pull customized reports querying any identifier available.
• Therapeutic Interchange enables Sun Knowledge’s clients to identify alternative, cost-conscious molecules, along with an automated customized mechanism to facilitate the switch with their beneficiary’s physician. This system can also be utilized for PBMs to better control their rebate programs and perform specific brand to brand interchanges within their formulary management systems. The proprietary software can be customized for any client with the pharmaceutical research completed by their in-house pharmacists and physicians.
• Prior Authorization/Appeal solution is aided by the use of a proprietary software engine with authorizations processed exclusively by physicians and pharmacists at a fraction of the cost of current rates. Sun Knowledge focuses their complete solution on improving pharmaceutical distribution management enabling PBMs to significantly lower their client’s costs.
• Clinical Support at Sun Knowledge’s call center has the benefit of being one of, if not the only call center, run exclusively by doctors and pharmacists with significant international call center experience. The benefits for PBMs and their clients of having a medically trained staff speaking with their beneficiary’s doctors has proven to help lower prescription costs and improve managed care.