CiiTA is frequently asked to develop and implement proof of concept pilot projects for clients who are just beginning to formalize their 340B management plans.
In this case study, the client came to CiiTA with a request for us to evaluate a set of hospitals for potential duplicate discounts. Their primary goal was to gain visibility into future duplicate discount mitigation, but they were also interested in recovery of historic duplicate discounts.
CiiTA suggested that they begin with a pilot project consisting of a three-state assessment of potential duplicate discounts followed by five Good Faith Inquiries. Based on the risk assessment results, CiiTA initiated five Good Faith Inquiries with the highest risk covered entities.
Of these, one declined to participate and one was found to have no duplicate discounts. The remaining three were found to have a significant number of duplicate discounts associated with their institution.
This project was an overwhelming success for the client. For an investment of $85,000 the manufacturer was able to realize a direct recovery of approximately $600,000 in historic duplicate discounts, with projected duplicate discount mitigation of more than three million dollars over the next five years.
Because CiiTA engaged with the participating entities with respect and in the spirit of objectivity, the participating entities continue to be satisfied customers of our client.