Latest Updates

By Caroline Smith, 12/28/2018
“J-Codes” and “medical specialty pharmacy” claims are going to be one of the top two procedure categories in terms of cost within your health plan. Knowing the amount of waste and abuse can give you insight into how you can develop strategies to drive more cost-effective utilization of the...
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By Caroline Smith, 08/15/2018
Our Health Care Reform Timeline is a perpetual timeline of all healthcare reform updates from 2010 to 2020 (and 2022 - when the Cadillac Tax is scheduled to "begin"). Should you have any questions reagrding this Timeline or any deadline included therein, please contact a local member of the...
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J-Codes: Your Healthcare Plan’s Biggest Enemy
12/28/2018

“J-Codes” and “medical specialty pharmacy” claims are going to be one of the top two procedure categories in terms of cost within your health plan. Knowing the amount of waste and abuse can give you insight into how you can develop strategies to drive more cost-effective utilization of the plan, and even enhance the benefits to the plan members for that efficient behavior. By identifying these specific issues within your plan and implementing targeted, value-based strategies to address them, you could eliminate tremendous costs without any adverse effects to your population.

 

Join our Director of Data Analytics, Scott Mayer, talks about the financial perils and pitfalls of "J-Codes" within an employer-sponsored health plan, and how the power of data can unlock the secrets to managing its spend.

 

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