Why We Need A Better Regulated Pharmacy Benefit Manager (PBM)?

Prescription drug spending is a billion-dollar problem for the payer industry. While pharmacy benefit managers (PBMs) are often a positive way for payers to manage prescription drug benefits for their members, savings for payers can be limited because of complex or one-sided contracts that benefit PBMs more than their partners. The Pharmaceutical Care Management Association […]

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5 Pharmacy Billing Mistakes Most Profitable Practices Avoid

Acing pharmacy billing ensures efficiency of handling patients and adding revenue of the pharmacy. With the help of automated systems, pharmacy billing will be able to process claims faster, with more accuracy and should be streamlined. The practice of pharmacy billing today requires the suitable resources like operating and technological systems to enhance the productivity […]

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Pharmacy Billing: Channelize Your Reimbursement Without Affecting Your Facility

The quantity of administrations provided by doctors, clinics, and nursing homes to their patients is consistently expanding. Each time patients are given treatment and care, they owe a specific amount to the healthcare service provider in the form of reimbursement. Same is the process with Pharmacy facilities, as channelizing repayments without affecting their facility is […]

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Pharmacy Benefit Manager: Performance Benefit and Ineffective Management

Drug therapy, compared to hospital treatment and the surgical procedure is more coherent of medical treatment. According to the recent analysis of Kaiser Family Foundation, the per capita expenditure on healthcare is expected to rise from $9,695 in 2014 to $15, 618 in 2024 with an annual average growth of 5%. When the U.S. policy […]

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