“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.
As workplaces continue to shift and transform, employers must adjust their employee engagement strategies. Remote or hybrid working, shortened attention spans, and navigating a multigenerational...
Set to go into effect on January 1, 2026, Illinois House Bill 5258 will amend the Illinois Insurance Code, the Health Maintenance Organization Act, and the Limited Health Service Organization Act to...
Today’s workforce expects more from their employee benefits. They’re looking for greater clarity, easier access to information, and meaningful support when it matters the most. Yet, many employees...