VAP leverages discount pricing from the pharmaceutical industry in ways that are not available through other classes-of-trade like PBMs and GPOs.
GLENDALE, CA –Ventegra, Inc., a Medical Benefit Manager (MBM) that delivers innovative, cost-efficient pharmaceutical and healthcare solutions to payors, providers, and patients, today announced the launch of the Ventegra Access Program (VAP). The program underscores Ventegra's deep understanding of the value of the coordinated care delivery model and serves the needs of those with similar goals and objectives.
Brian Vossler, Vice President, Business Development, says, "The Ventegra Access Program (VAP) is a vital and important evolution on a point-of-sale rebate program that delivers the net contract cost to the payor at the point of adjudication. A key feature of VAP is its ability to calculate any patient copayment based upon such net cost, thus providing additional value to the patient, and ensuring that the appropriate value from any discounts and rebates are passed along to the patient and consumer."
In addition, a key benefit of VAP is its capacity to provide additional streamlining and efficiencies for participating contract pharmacies and pharmaceutical manufacturers, reducing costs in our healthcare system for all payors and most importantly, for patients.
Robert T. Taketomo, Pharm.D., MBA, President/CEO, explains, "The Ventegra Access Program (VAP) is consistent with the unique business model represented by Ventegra as a Medical Benefit Manager (MBM). VAP allows us to leverage the unique and proprietary discount pricing we receive directly from the pharmaceutical industry in ways that are not available through other aggregators of discounts and classes-of-trade like Pharmacy Benefit Manager (PBM) and Group Purchasing Organizations (GPOs)."
Adds Dr. Taketomo, "For 20 years, Ventegra has offered a single, turnkey solution for clients interested in managing their medical and pharmacy benefit programs with integrity, quality, and complete transparency around data and costs of care. The Ventegra business model was designed to fundamentally realign financial incentives focusing on value-based care and total healthcare cost. VAP is consistent with this direction and represents part of the next iteration of the Ventegra MBM program."
In 2014, Ventegra received a unique class-of-trade designation after extensive internal and external legal review by a major pharmaceutical corporation. By the end of 2019, essentially all pharmaceutical company agreements with Ventegra reflected the MBM class-of-trade designation and the unique warranties and representations that the industry has associated with this class-of-trade. Subsequent legal review over the years has supported and substantiated Ventegra's unique qualifications as a MBM that can, in appropriate circumstances, co-exist alongside other classes-of-trade.
Ventegra, Inc. is the legacy Ventegra that is dedicated to servicing Ventegra Foundation. Over time, most of the assets of Ventegra, Inc. will transition over to Ventegra Foundation. www.ventegra.com
About Ventegra Foundation
Ventegra Foundation is the new nonprofit Public Benefit Corporation in formation that will be the basis for Ventegra going forward. A complex transition process will be initiated that will transfer the intellectual property and personnel of Ventegra, Inc. into Ventegra Foundation. It is expected that this transition will occur over a period of three to five years. www.ventegra.com
Our drug list and formularies are designed to provide our clients with a choice of pharmacy products that meet all of the essential clinical conditions while addressing economic needs, and providing quality of care, affordability and choice.
Ventegra was founded to create balance between profitability and affordable patient care in an industry burdened by misplaced priorities. Our team applies our core values of integrity and transparency to create new healthcare delivery channels that are more consolidated and efficient. We channel our resources to positively impact the lives of others and create value for society as a whole.
Policies
HIPAA Compliance Policy
Ventegra has adopted a General HIPAA Compliance Policy in order to comply with the Health Insurance Portability and Accountability Act (“HIPAA”), as amended by the Health Information Technology for Economic and Clinical Health (“HITECH”) Act of 2009 (Title XIII of division A and Title IV of division B of the American Recovery and Reinvestment Act “ARRA”) and the HIPAA Omnibus Final Rule (Effective Date: March 26, 2013). We acknowledge that full compliance with the HIPAA Final Rule is required by or before September 23, 2013.
Ventegra hereby acknowledges our duty and responsibility to protect the privacy and security of Individually Identifiable Health Information (“IIHI”) generally, and Protected Health Information (“PHI”) as defined in the HIPAA Regulations, under the regulations implementing HIPAA, other federal and state laws protecting the confidentiality of personal information, and under principles of general and professional ethics. We also acknowledge our duty and responsibility to support and facilitate the timely and unimpeded flow of health information for lawful and appropriate purposes.
This policy governs general HIPAA Compliance for Ventegra. All personnel of Ventegra must comply with this policy. Demonstrated competence in the requirements of this policy is an important part of the responsibilities of every member of our workforce. Officers, employees, Business Associates, contractors, affected vendors, temporary workers, and volunteers must read, understand, and comply with this policy in full and at all times.
Privacy Notice
Effective Date: March 1, 2021
This privacy notice discloses the privacy practices for this site. This privacy notice applies solely to information collected by this website, except where stated otherwise. It will notify you of the following:
What information we collect;
With whom it is shared;
How it can be corrected;
How it is secured;
How policy changes will be communicated; and
How to address concerns over misuse of personal data.
Information Collection, Use, and Sharing
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g., to ship an order.
Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Your Access to and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number provided on our website:
See what data we have about you, if any.
Change/correct any data we have about you.
Have us delete any data we have about you.
Express any concern you have about our use of your data.
Security
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline.
Wherever we collect sensitive information (such as credit card data), that information is encrypted and transmitted to us in a secure way. You can verify this by looking for a closed lock icon at the bottom of your web browser, or looking for "https" at the beginning of the address of the web page.
While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job (e.g., billing or customer service) are granted access to personally identifiable information. The computers/servers on which we store personally identifiable information are kept in a secure environment.
Notification of Changes
Whenever material changes are made to this privacy notice updates will be reflected here on our website.
Other Provisions as Required by Law
Numerous other provisions and/or practices may be required as a result of laws, international treaties, or industry practices. It is up to you to determine what additional practices must be followed and/or what additional disclosures are required. Please take special notice of the California Online Privacy Protection Act (CalOPPA), which is frequently amended and now includes a disclosure requirement for “Do Not Track” signals.
If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone at 858-551-8111 or privacyandsecurity@ventegra.org.
Fraud, Waste & Abuse
Part of our efforts to improve the healthcare system, Ventegra is committed to detecting, preventing and correcting fraud, waste and abuse.
What are Fraud, Waste, and Abuse?
FRAUD is generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain (by means of false or fraudulent pretenses representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program. (18 U.S.C. § 1347)
WASTE is overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the health care system, including the Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.
ABUSE includes any action(s) that may, directly or indirectly, result in one or more of the following:
Unnecessary costs to the health care system, including the Medicare and Medicaid programs
Improper payment for services
Payment for services that fail to meet professionally recognized standards of care
Services that are medically unnecessary
Abuse involves payment for items or services when there is no legal entitlement to that payment.
How to Report Fraud, Waste, and Abuse
If you suspect fraud, waste, or abuse in the healthcare system, please report it. To report suspected fraud, waste, or abuse, you can contact Ventegra:
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Contact Information.
HOW TO CONTACT US:
Ventegra, Inc.
450 North Brand Blvd
Suite 600
Glendale, CA 91203
Corporate: (858) 551-8111
Fax: (858) 551-8175
