Utilization Management
Article
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.
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Article
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.
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Article
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.
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Article
Simplifying medical benefit drug management complexities
An integrated approach to managing medically billed specialty drugs is key to optimizing cost savings and clinical outcomes.
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Why a home infusion strategy is more important than ever
July 01, 2022
Growing demand and new regulations have put the onus on plan sponsors to prioritize the need for a comprehensive home infusion strategy.