The importance of utilization management within the medical benefit
The ever-evolving complexity of medications billed through the medical benefit requires continuous investment in processes to manage their increasingly high price tag.
Read MoreBreaking Down the Benefits of Site of Care Redirection
Redirecting drug dispensing and care from infusion suites, hospitals and physician offices to a specialty pharmacy with in-home nursing services is a safe and cost-effective strategy for plan sponsors...
Read MoreFour Considerations for Designing a Fertility Benefit
The right fertility benefit provides the right treatment to meet each individual member’s needs while delivering value to the plan.
Read MoreExpress Scripts Further Advances Transparency and Affordability for Consumers and Clients
Express Scripts, the pharmacy benefits management business of Evernorth, a subsidiary of The Cigna Group (NYSE: CI), today announced several actions to further evolve its pharmacy benefit management (...
Read MoreThe importance of a clinical-first approach to formulary development
The clinical efficacy of a drug must always take priority over any other considerations when developing formularies.
Read MoreEvernorth and Kaiser Permanente Enter Strategic Collaboration to Deliver More Convenient, Affordable and Accessible Health Care
Broad agreement aims to increase convenience and expand affordable access to valuable health benefits and high-quality care to millions more Americans Kaiser Permanente members will benefit from ac...
Read MoreWhat impact will the Inflation Reduction Act have on health plans?
Plan sponsors should be aware of the effects the law will have on Medicare Part D over the coming years.
Read MoreExpress Scripts To Begin Adding Inflammatory Conditions Biosimilars to Largest Formularies Next Year
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How Accredo’s social workers, dietitians, and patient care advocates help patients thrive
Accredo specialty pharmacy employs teams of social workers, dietitians, and patient care advocates who support patients and help with a wide range of issues.
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