Health Systems
Maximize Rebate Recovery Across Your Health System
Health systems administer billions in specialty and biologic drugs each year. The manufacturer rebates embedded in those medical-benefit claims represent significant, recoverable value — most of which goes uncaptured.
The Challenge
The Medical Benefit Is the Blind Spot
Health systems administer high-cost specialty drugs and brand medications across inpatient units, outpatient infusion centers, and employed physician practices. These drugs are billed under the medical benefit — not the pharmacy benefit — which means they fall outside the rebate programs most organizations have in place.
Without a dedicated process to identify and pursue these rebates, the value simply goes uncollected. Manufacturers retain it. Your organization does not.
What We Do
A Claims-Level Recovery Process Built for Health System Complexity
Inpatient & Outpatient Claims
We analyze claims across your hospital facilities — identifying every drug administration eligible for manufacturer rebates under the medical benefit.
Employed Physician Groups
Physician-administered drugs in employed practices represent a significant and often overlooked rebate opportunity. We capture it.
System-Wide Reporting
We deliver consolidated reporting across your entire system — by facility, by drug, by period — so you have full visibility into what was recovered and why.
The Veritas Advantage
Designed to Work Within Your Existing Structure
Performance-only fees
No retainers. No upfront investment. We earn only when you recover — which means our interests are perfectly aligned with yours.
No IT integration required
We work with your existing claims data exports. No EHR integration, no system access, no IT project required.
Works alongside your GPO and PBM
Our process is additive — we target the medical benefit rebate opportunity that your existing GPO and PBM arrangements do not cover.
Confidential and compliant
All analysis is conducted under a formal engagement agreement. Your data is handled with the same rigor you apply to your own operations.
Let's Identify Your Recovery Opportunity
No cost to explore. No commitment required.
Schedule a Consultation