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Plenful Launches Command Center for Health Systems

Plenful, a leader in AI workflow automation for pharmacy teams, recently introduced its innovative MFP Intelligence solution designed to assist health systems in recovering refunds under Medicare's Maximum Fair Price (MFP) program. This advancement comes as significant financial challenges arise from the implementation of the Inflation Reduction Act's Drug Price Negotiation Program, which triggered the MFP initiative on January 1, 2026.

The launch follows partnerships with prominent health institutions like Henry Ford Health (HFH) and St. Luke's Health System, where customers have identified that nearly 20% of anticipated refunds from Medicare remain unclaimed. With Plenful's new tool, pharmacy, revenue cycle, and finance teams can enhance their operational efficiency through a centralized command center that consolidates claims data and flags discrepancies in real-time.

The Significance of the MFP Intelligence Solution

The MFP Intelligence solution provides a range of pivotal features that empower health systems. These features include:

• - Accessing MTF Data: Acting as a Third Party Support Entity (TPSE), the solution retrieves crucial data relevant to managing MFP claims.
• - Identifying Missing Refunds: The system diligently searches for outstanding MFP refunds, ensuring that health systems do not miss out on potential income.
• - Claim-level Reconciliation: A significant aspect is its ability to reconcile expected versus received refunds at the claim level, directly addressing issues that can cost health systems money.
• - Duplicate Identification: It detects scenarios where both 340B and MFP discounts apply, preventing any financial discrepancies.
• - Comprehensive Reporting: Executive 360 Dashboards offer both macro and claim-level reporting, allowing stakeholders to have a bird's-eye view of the financial landscape.

As Alex Mansour, Director and 340B Compliance Officer at Henry Ford Health, noted, having such visibility is crucial as the MFP program starts to impact pharmacy reimbursements. The centralized approach facilitated by the command center significantly diminishes manual processes while enhancing tracking and verification of refunds.

Solving Operational Challenges

With pharmacies now responsible for navigating more complex reimbursement workflows under the MFP program, the MFP Intelligence solution emerges as a game-changer. Prior to deploying this technology, many health systems, including Henry Ford, lacked adequate tools to efficiently manage these financial transitions. The need for a robust tracking and operational management system has never been more evident.

“Having a centralized command center that integrates our pharmacy system claims data allows us to seamlessly track discrepancies and ensures that we receive the refunds owed to us,” said Mansour. “This visibility not only protects the financial integrity of our operations but also reduces the workload significantly.”

An Expansion of Services

This new solution expands directly from Plenful's existing Regulatory Compliance and Revenue Optimization suite, enhancing tools that already serve over 95 health systems nationwide. The company aims to ensure that their clients are equipped with right technology to effectively track these essential funds through their partnerships.

Joy Liu, the Founder and CEO of Plenful, emphasized the urgency of adapting to these recent changes in the healthcare landscape. “We created this automation tool because many customers quickly realized their existing systems were inadequate for tracking the crucial refunds they are entitled to. Our goal is to provide pharmacy and finance leaders a clear, detailed view at the claim level.”

For those interested in learning more about Plenful's capabilities in automating workflows for 340B optimization, revenue enhancement, and improved intake authorization processes for infusion and specialty pharmacy teams, they can visit Plenful.com.

About Plenful

Plenful is dedicated to advancing pharmacy operations through intelligent automation. It is the premier AI automation platform designed for pharmacy purposes, aimed at removing administrative burdens, enhancing compliance, and promoting sustainable growth. Through in-depth pharmacy knowledge and powerful enterprise-grade AI, Plenful automates intricate workflows, including those tied to intake authorization, 340B management, and regulatory compliance. With partnerships spanning over 95 health systems and pharmacies nationally, Plenful is positioned to drive smarter, faster, and more resilient pharmacy operations.