Mediledger Network.
Blockchain Powered Network in the Life Science Industry
Mediledger Network
The MediLedger network prioritizes industry alignment, accuracy, privacy, and decentralization. Network member trading partners find a unified view of transaction-related data, automatically enforced accuracy, control over private data, and a decentralized network that allows for direct transacting with no intermediary.
About the Project
Currently, there is uncertainty on how to manage 340B-based eligibility with the recent shifts in the approach to Contract Pharmacies.
There are significant gaps in communicating 340B Contracts as it requires significant manual work to maintain 340B Covered Entities.
Several Manufacturers utilise specific avenues to determine if a Contract Pharmacy should be identified as an exception.
The lack of an automated system to ensure accuracy and efficiency in real time has inefficiencies in the current adjudication process.
The MediLedger 340B Eligibility Solution will help Manufacturers manage and communicate exhaustive 340B Eligibility, including Contract Pharmacies, providing the Wholesaler with complete confidence in the eligible customers and chargeback submissions.
MediLedger can help automatically consume these documents that signify a Contract Pharmacy as an exception and display this in the UI, impacting eligible contracts downstream.
Once 340B contracts have been communicated accurately, MediLedger will enforce 340B specific adjudication rules at the ZKP layer to ensure 340B chargeback claims are adjudicated accurately in real-time.
MediLedger will facilitate a Manufacturer user to configure eligibility rules for 340B contracts in the node.
About the Company
Automating transactions in healthcare with blockchain.
Balancing Growth
Navigating the Complexities of 340B.
Annual spend (340B)
in the last 10 years
Annual spend (340B)
in the last 10 years
Participants
Manufacturers
Covered Entities under the section 340B(a)(4) of the Public Services Act
State & Federal Agencies administering 340B/Medicaid Programs
Scope Of Work
This significantly improved the quality of deliverables.
340B Eligibility
Summary
Future State
Summary
An existing integration empowers each feature to the HRSA database which includes both Covered Entities and Contract Pharmacies.
Contract Pharmacy
Exception Management
This will help to significantly reduce the manual work and coordination required to maintain and communicate exception Contract Pharmacies by utilizing a centralized streamlined location.
Contract Pharmacy
External Integrations
Several Manufacturers utilize specific avenues to determine if a Contract Pharmacy should be identified as an exception. These can be applications or documents submitted by the pharmacy itself or an external source such as 340B ESP.
MediLedger can help automatically consume these documents that signify a Contract Pharmacy as an exception and display this in the UI, impacting eligible contracts downstream.
Contract Eligibility
Determination
MediLedger will facilitate a Manufacturer user to configure eligibility rules for 340B contracts in the node. For example, these rules can be based on COT or Market Segment.
This will construct an exhaustive contract eligibility list for each 340B contract and communicate said contract to all applicable wholesalers. MediLedger will consistently maintain the eligibility list as changes occur in the HRSA database.
340B contract eligibility will no longer have room for misalignment between trading partners; Wholesalers will know precisely which Covered Entities and Contract Pharmacies are eligible for chargebacks.
This removes the need for Manufacturers to maintain the HRSA database records in their current RM/ERP system.
Chargeback
Adjudication
This will allow Manufacturers and Wholesalers to focus on legitimate disputes and managing the membership processes.
Roaster Management
GPO Rosters stay synced between all trading partners. GPO Documentation managed and shared directly in MediLedger node.
Rapid and Powerful
Customer Research
View current and historical states of a customer directly with in your MediLedger node.
View current and historical states of a customer directly with in your MediLedger node.
View current and historical states of a customer directly with in your MediLedger node.
View current and historical states of a customer directly with in your MediLedger node.
Contract
Communication
Contract updates, validated by blockchain, provide predictability to wholesalers.
Pricing, product,
customer and other contract updates are shared in real-time.
Pricing, product,
customer and other contract updates are shared in real-time.
Pricing, product,
customer and other contract updates are shared in real-time.
View historical states of a contract every time an update occurs through a history timeline.
MediLedger gives you control over the data you receive, enforcing your rules in your trading partner’s system.
Wireframes
In the dynamic landscape of healthcare management, accuracy and efficiency are paramount. Given the complexity of the project, it was clear that a solution was needed to streamline processes and ensure accuracy. Wireframes were instrumental in the development for several key reasons.
Clarity in Conceptualization
User-Centric Approach
Iterative Process
Style Guide
Graphik is a neo-grotesque sans-serif typeface designed by Christian Schwartz and published by Commercial Type in 2009. The low contrast and large x-height give the typeface great versatility. It is suitable for display purposes as well as for text sizes, captions and for such specific tasks as navigation systems and map-making.
abcdefghijklmnopqrstuvwxyz
abcdefghijklmnopqrstuvwxyz
0123456789
Navy
#0B1641
Royal Blue
#003090
Blue
#017EFA
Teal
#00E8E8
Sky Blue
#00A8F3
Visual Design
This phase ensured an intuitive and visually appealing platform that was seamlessly aligned with user expectations and nee
Chargebacks
Auto-adjudication of chargebacks through MediLedger can speed up payment cycles. Exceptions to established rules can be easily handled through elegant approval processes.
Adjudication Details
With MediLedger Claim Adjudication, wholesalers are enabled with manufacturer business rules that automatically enforce accuracy and adjudicate chargebacks right inside a wholesaler’s system.
Invoice Details
Returns, credits, re-bills handled automatically in wholesaler’s system, and aligned between all trading partners in real-time.
Automatically generates credit note based on adjudicated chargeback.
Link between invoice, chargebacks, resubmissions and credit memos permanently maintained.
Conclusion and Impact
This solution not only boosts operational efficiency but also enhances compliance and trust between manufacturers, wholesalers, and contract pharmacies. The successful deployment of the MediLedger project is set to transform the 340B landscape, providing all stakeholders with the tools needed for seamless, transparent transactions and fostering a more reliable 340B program environment.
Raise
Commercial Real Estate