“J-Codes” and “medical specialty pharmacy” claims are going to be one of the top two procedure categories in terms of cost within your health plan. Knowing the amount of waste and abuse can give you insight into how you can develop strategies to drive more cost-effective utilization of the plan, and even enhance the benefits to the plan members for that efficient behavior. By identifying these specific issues within your plan and implementing targeted, value-based strategies to address them, you could eliminate tremendous costs without any adverse effects to your population.
Join our Director of Data Analytics, Scott Mayer, talks about the financial perils and pitfalls of "J-Codes" within an employer-sponsored health plan, and how the power of data can unlock the secrets to managing its spend.
We recognize the challenges associated with delivering high-quality benefits programs in a financially sustainable manner. It is important to note that significant cost savings can be achieved...
Today, employees are increasingly grappling with mental and behavioral health challenges such as burnout, stress and anxiety, as well as other diagnosable mental health disorders and conditions....
Now that PCORI season has officially passed, we wanted to take the time to address a recurring question that we often receive from clients: “what happens if we missed the filing deadline or have...