What a hospital pharmacy should buy next, and what each switch is worth in dollars
Marginwise reads your purchase, price, claim and payment files and ranks the products you could buy by modeled margin, not price alone: what each costs against Medicare's published rate and what each payer allowed on matched 835 lines, with any estimate labeled as one.
A prototype on synthetic data: the health system, its files and its dollar figures are made up. Opportunity figures are modeled potential margin, not realized savings, and nothing here is clinical advice or approval to switch.
What it answers
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Any file, standardized
Purchase files, price catalogs, 837 claims, 835 payments and EHR administrations each land in one standardized schema.
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The best margin, not the lowest price
The cheapest product is not always the best margin once Medicare's published rate and each payer's matched payment evidence are counted, with estimates labeled where that evidence is thin.
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Biosimilar opportunity
A new biosimilar that Medicare already pays well is listed with the modeled margin switching to it would earn, before it shows up in your purchase history.
How files come in
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1.Upload or connect
A file you download from a supplier, a payer or the EHR, or a feed pulled on a schedule.
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2.Headers match
Known headers match by synonym; the model maps the rest from sample values.
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3.A person approves
An unseen layout gets a proposed mapping and a dry run. Nothing loads until someone approves it.
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4.Same way every time
After approval the layout ingests with no model call. Imported facts keep their source cells, derived figures show their equation and inputs, and declared assumptions stay labeled.