Prompt Improver
severity1/claude-code-prompt-improver
This skill enriches vague prompts with targeted research and clarification before execution.
This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or…
Install Gross To Net Bridge
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridge --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .claude/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .claude/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridgeType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridge --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .agents/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .agents/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridge --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .cursor/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .cursor/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path modules/rx-utilization/skills/gross-to-net-bridge--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridge --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .gemini/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .gemini/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridgeInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .github/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .github/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install hh-health-AI/healthcare-equity gross-to-net-bridge --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/modules/rx-utilization/skills/gross-to-net-bridge .opencode/skills/gross-to-net-bridge && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "gross-to-net-bridge" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/gross-to-net-bridge into .opencode/skills/gross-to-net-bridge/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "gross-to-net-bridge", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
gross-to-net-bridge- GitHub stars
- 101
- Token cost
- ~793 tokens
- SKILL.md length
- 399 words
- Files
- 1
- Skills in repo
- 72
- Repo updated
- First seen
- Licence
- MIT
At a glance
This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or…
- Works in 6 steps: Anchor list price. Pull WAC from the… → Build the observable net floors. → Layer the policy calendar. IRA maximum… → …
- Asks about gross to net
- SKILL.md covers Workflow, Class heuristics and Not-automatic
- Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md
What it does
Gross To Net Bridge is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or stress a net-revenue bridge for a drug from open data. Anchors prompt-library ID SUB-PHA-04.
Its SKILL.md is about 790 tokens, which your agent loads only when the skill is triggered. It is a single SKILL.md file with no bundled scripts.
It sits in AI & LLM Engineering, covering Prompt engineering. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.
When your agent uses it
- Asks about gross to net
- Net price assumption
- Rebate pressure
- IRA maximum fair price impact
Example prompts
- “gross to net”
- “GtN erosion”
- “net price assumption”
- “/gross-to-net-bridge”
Workflow steps
6 steps, taken from the first numbered list in SKILL.md.
- Anchor list price. Pull WAC from the company's own disclosures or a public
- Build the observable net floors.
- Layer the policy calendar. IRA maximum fair price effective dates, Part D
- Bridge it. Gross → statutory rebates → commercial rebates and PBM fees →
- Sanity-check against reported results. Company-reported net revenue ÷ your
- Emit the brief, with the commercial-rebate assumption named in Not-automatic.
What it can do on your machine
Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Gross To Net Bridge loads about 793 tokens when it runs. Until then it costs about 77 tokens; SKILL.md has 399 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 399 words, ~793 tokens.
Download SKILL.mdSave it as
.claude/skills/gross-to-net-bridge/SKILL.md (or your agent's skills folder).- name
- gross-to-net-bridge
- description
- This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or stress a net-revenue bridge for a drug from open data. Anchors prompt-library ID SUB-PHA-04.
- metadata.version
- 0.1.0
- metadata.layer
- Commercial
Gross-to-net bridge
Assemble a defensible net-price path for a drug from open CMS sources, and mark clearly where the estimate stops being data and starts being assumption.
Workflow
- Anchor list price. Pull WAC from the company's own disclosures or a public price-transparency filing. Record the date of the last list increase — most large caps now take one modest increase per January.
- Build the observable net floors.
- Medicaid: SDUD total reimbursed ÷ units gives a pre-rebate reimbursement level; the statutory Medicaid rebate (23.1% of AMP for most brands, plus the CPI penalty) sets a hard floor well below it.
- Medicare: the CMS Medicare Part B and Part D Spending by Drug dashboards publish average spending per dosage unit and annual change — the cleanest open series for a Medicare-weighted net trend.
- 340B: HRSA covered-entity growth in the relevant setting is a structural GtN headwind. Size it qualitatively; the discount itself is not public per drug.
- Layer the policy calendar. IRA maximum fair price effective dates, Part D redesign (manufacturer liability in the catastrophic phase), and any inflation rebate exposure where list increases outran CPI. Pull dates from a reimbursement engine rather than re-deriving them here.
- Bridge it. Gross → statutory rebates → commercial rebates and PBM fees → 340B and other mandated discounts → patient assistance and copay support → net. Only the statutory and Medicare components are observable. Label the commercial rebate line as the assumption it is, and show the net-revenue sensitivity to it at ±5 percentage points.
- Sanity-check against reported results. Company-reported net revenue ÷ your estimated volume gives an implied net price. If that implies a GtN outside reasonable bounds for the class, your volume estimate is wrong, not the company's.
- Emit the brief, with the commercial-rebate assumption named in Not-automatic.
Show full SKILL.md (107 more words)Show less
Class heuristics
GtN gaps are widest where PBM competition is fiercest — insulins, respiratory inhalers, TNF inhibitors, and increasingly the GLP-1 class. They are narrowest in buy-and-bill oncology and single-source rare disease. A model that applies one house GtN percentage across a diversified pharma's portfolio will misprice the mix shift, which is usually the actual driver of net-price surprise.
Not-automatic
An observable Medicaid or Medicare net level does not license a commercial net price. The commercial book is where the rebate war happens and it is not public.
Framework anchors: your own valuation framework;
Kongstvedt on PBM and rebate mechanics; MedPAC and KFF for policy context.
Contract: ../../references/evidence-brief.md.
© hh-health-AI, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
Just SKILL.md in modules/rx-utilization/skills/gross-to-net-bridge of hh-health-AI/healthcare-equity.
Open the folder on GitHubat commit 6c7bda8
Compare with similar skills
Gross To Net Bridge next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Gross To Net Bridge this skillhh-health-AI/healthcare-equity | 101 | — | ~793 | Automated safety check: Pass | MIT | |
| Prompt Improverseverity1/claude-code-prompt-improver | 1.9k | 1 repos | ~1.7k | Automated safety check: Pass | MIT | |
| Prompt Engineering Patternsynulihao/AgentSkillOS | 618 | 14 repos | ~1.7k | Automated safety check: Pass | None | |
| Patch CreationPiebald-AI/tweakcc | 2.5k | — | ~1.6k | Automated safety check: Pass | MIT | |
| Senior Prompt Engineermaslennikov-ig/claude-code-orchestrator-kit | 260 | 3 repos | ~1.4k | Automated safety check: Pass | Custom licence | |
| Codex Fable5baskduf/FableCodex | 437 | — | ~1.6k | Automated safety check: Pass | AGPL-3.0 |
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Categories
Questions about Gross To Net Bridge
What does Gross To Net Bridge do?
This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or…. Gross To Net Bridge is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks about "gross to net", "GtN erosion", "net price assumption", "rebate pressure", "list vs net", "IRA maximum fair price impact", or wants to build or stress a net-revenue bridge for a drug from open data.
When should I use Gross To Net Bridge?
Gross To Net Bridge fits situations like: asks about gross to net; net price assumption; rebate pressure; IRA maximum fair price impact.
How do I install Gross To Net Bridge in Claude Code?
Run `npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a claude-code`. Or copy the skill folder (modules/rx-utilization/skills/gross-to-net-bridge in hh-health-AI/healthcare-equity) into .claude/skills/gross-to-net-bridge in your project. Claude Code loads it when a task matches its description.
How do I install Gross To Net Bridge in Codex?
Run `npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a codex`. Or copy the skill folder (modules/rx-utilization/skills/gross-to-net-bridge in hh-health-AI/healthcare-equity) into .agents/skills/gross-to-net-bridge in your project. Codex loads it when a task matches its description.
Can I use Gross To Net Bridge in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill gross-to-net-bridge -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/gross-to-net-bridge, .gemini/skills/gross-to-net-bridge, .github/skills/gross-to-net-bridge and .opencode/skills/gross-to-net-bridge in your project.
What does Gross To Net Bridge need to run?
SKILL.md names no scripts, command-line tools or credentials: Gross To Net Bridge is instructions for the agent only.
Does Gross To Net Bridge access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Gross To Net Bridge safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Gross To Net Bridge use?
Gross To Net Bridge is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Gross To Net Bridge use?
About 793 tokens (SKILL.md is roughly 3.2k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.
What are the alternatives to Gross To Net Bridge?
Skills that share tags, products or a category with Gross To Net Bridge: Prompt Improver (severity1/claude-code-prompt-improver, 1.9k stars), Prompt Engineering Patterns (ynulihao/AgentSkillOS, 618 stars), Patch Creation (Piebald-AI/tweakcc, 2.5k stars) and Senior Prompt Engineer (maslennikov-ig/claude-code-orchestrator-kit, 260 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Gross To Net Bridge?
hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.
Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.