How does a RCM Pharmacy manager can benefit and impact the ecosystem?


Drug therapy, compared to hospital treatment and the surgical procedure is more coherent of medical treatments. Who’s in charge of prescription benefits? Many people think that prescription drug aids come straight from a health insurance provider, when in fact, there’s a very important intermediary doing the bulk of the work for over 80% of employers […]

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Accountable Care Organization (ACO’s) Needs Tech-intelligent Pharmacist


With an effort to access and improve the healthcare industry in USA; along with managing the costs which have been the primary issue since years; the introduction of ACO (Accountable Care Organization) whereby the providers have created a comprehensive network that works for the betterment of the patients, and it is appreciated as an achievement […]

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What Happens If Your Prior Authorization Doesn’t Match With Service Provided?


Prior Authorization for a drug is one of the foremost processes on which the financial health of a Pharmacy facility depends on. Today, with the advancement in the areas of EMR and EHR, Pharmacy billing personnel who work in-house or offshore have to guarantee in advance to their doctors about the patients insurance plan. While […]

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Insurance vs. Out-of-pocket Payment: Which Option is better for Pharmacist?


Having a pharmacy business is no easy task considering the nature of Insurance versus out-of-pocket expense that both the patient and the pharmacist have to abide by. The pharmacy benefit manager (PBM), most of the time charges their customers more than the medicine costs and pockets the leftover difference. This is where an efficient, relevant […]

Read More.. Insurance vs. Out-of-pocket Payment: Which Option is better for Pharmacist?

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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