Utilization Management
Most recent (5)
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Helping members find the care they need, when they need it

Discover how to help employees navigate their benefits with resources that empower them to access essential care when it matters most.

November 08, 24

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How specialty pharmacy enhancements help physicians and patients navigate the prior authorization process

Digital tools and AI-enabled processes can help evolve prior authorizations to deliver the best outcomes for patients, providers and payers.

Jim Blondin, RPh, MBA, August 14, 24

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The importance of utilization management within the medical benefit

The ever-evolving complexity of medications billed through the medical benefit requires continuous investment in processes to manage their increasingly high price tag.

Mark Wong, PharmD, BCACP, August 17, 23

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Simplifying medical benefit drug management complexities

An integrated approach to managing medically billed specialty drugs is key to optimizing cost savings and clinical outcomes.

Mark Bini, July 20, 22

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Why a home infusion strategy is more important than ever

Growing demand and new regulations have put the onus on plan sponsors to prioritize the need for a comprehensive home infusion strategy.

Mark Bini, July 01, 22

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