Channel management provides the ability to compare costs across pharmacy and medical benefits. It generates an opportunity to prepare new strategies and monitor programs already…
Recently, Evernorth released their 2020 Drug Trend Report. For many years this report, recently rebranded from Express Scripts to Evernorth, has been one of the more…
High-cost patients, high-cost claims, and other outliers can challenge even the most sophisticated payers and plan sponsors. Knowing today’s outliers will not help you get…
Join the discussion already in progress as we shift gears from last week’s installment on “Utilization Management: How to achieve best practices in the managed care…
As the pandemic continues and COVID-19 cases rise across our nation, it can be challenging to sort through all the news. Promising scientific advances in…
On November 20, 2020, the Trump administration finalized rules aimed at reducing the costs of drugs. Michael Kolodij, PharmD, unpacks both: “Most Favored Nation” rule…
Diabetes is a top category of spend for most plan sponsors. According to the American Diabetes Association, people diagnosed with diabetes incur average medical expenditures…
Join the discussion already in progress as we shift gears from last week’s installment on “Unpacking utilization and medical pharmacy integration” to this week’s…