Consumer Driven Health Care

Automating and optimizing the prior authorization process with intelligent technology closes the AI adoption gap, delivers ROI for health plans, significantly enhances care quality, and reduces the administrative burden for providers.

Prescription drug costs are the primary factor driving prices up in the health benefits space.

The FTC says it has clear authority to help policymakers understand how PBMs work.

Cuban, the founder of the Mark Cuban Cost Plus Drug mail-order pharmacy, said the main rebate funding mechanism is the sick employee, in a recent webinar.

The DOJ settled a whistleblower case with Walgreens, which claimed "issues with its billing systems" led to prescriptions billed to Medicare and Medicaid that were never dispensed at the pharmacy.

When selecting nurse-first triage providers, organizations should prioritize those with high NPS and customer satisfaction ratings.