Cigna Legal Case With Ingenix Flawed Formulas for Out of Network Payments Allowed to Proceed Under ERISA, Can’t Avoid the Claims… Cigna Legal Case With Ingenix Flawed Formulas for Out of Network Payments Allowed to Proceed Under ERISA, Can’t Avoid the Claims…

How many companies used the Ingenix Data Base one has to question.  While current Acting Director of Medicare, Andy Slavitt was the CEO of ...

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Sunday, May 08, 2016

Be Aware of Prescription “Claw Backs” as Pharmacy Benefit Management Profit Centers Continue to Evolve Be Aware of Prescription “Claw Backs” as Pharmacy Benefit Management Profit Centers Continue to Evolve

If you have watched the news of late, drug prices that we pay are a big item as the price of drugs keeps going up.  The pharmacy benefit ma...

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Saturday, May 07, 2016

The Rise of the Quants, Again!  This Time In US Healthcare- Taming the MACRA Beast of Quantitated Madness For A Lot of Things That Are Probably Just Not True The Rise of the Quants, Again! This Time In US Healthcare- Taming the MACRA Beast of Quantitated Madness For A Lot of Things That Are Probably Just Not True

I’ve been watching this for years with the way healthcare is changing in the US today and we certainly need and do use constructive and good...

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Saturday, May 07, 2016
 
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