Cotiviti’s Post

Specialty drugs are a complex area of claims processing, with almost half of specialty drug claims occuring under a health plan's medical benefit rather than the pharmacy benefit. This complexity and expense make specialty drug claims prone to inaccurate billing, or worse, fraud, waste, and abuse. Watch our latest YouTube webinar for critical insights, including why relying solely on prior authorization can result in limited details that can leave plans open to inappropriate claims. Subscribe to our YouTube channel for more. https://bit.ly/3tR0vUF #HealthPlans #FWA #fraud

Specialty drugs are a complex area of claims processing, with almost half of specialty drug claims occuring under a health plan's medical benefit rather than the pharmacy benefit. This complexity and expense make specialty drug claims prone to inaccurate billing, or worse, fraud, waste, and abuse. Watch our latest YouTube webinar for critical insights, including why relying solely on prior authorization can result in limited details that can leave plans open to inappropriate claims. Subscribe to our YouTube channel for more. https://bit.ly/3tR0vUF #HealthPlans #FWA #fraud

Specialty drugs are a complex area of claims processing, with almost half of specialty drug claims occuring under a health plan's medical benefit rather than the pharmacy benefit. This complexity and expense make specialty drug claims prone to inaccurate billing, or worse, fraud, waste, and abuse. Watch our latest YouTube webinar for critical insights, including why relying solely on prior authorization can result in limited details that can leave plans open to inappropriate claims. Subscribe to our YouTube channel for more. https://bit.ly/3tR0vUF #HealthPlans #FWA #fraud

📢 ADVI Health recently welcomed Zachary Friend to the team as senior associate, federal and state policy. At ADVI, Zack works with clients to help them better understand how the implementations of the #InflationReductionAct (IRA), state-level Prescription Drug Affordability Boards (PDABs), and other #Medicare Part D policies will impact their businesses and products. Read more on Zack and his experience: https://lnkd.in/eqn_5inv

In my latest blog, I dive deep into the murky waters of how PBMs secretly inflate prescription drug prices. It's a revelation of practices that undermine patient trust and inflate costs. Let's champion a transparent, fiduciary model that prioritizes patients over profits. Join me in advocating for change! 🌐💊 #PBM #PharmacyBenefits #Transparency #HealthcareReform #FiduciaryStandard #PatientAdvocacy

In my latest blog, I dive deep into the murky waters of how PBMs secretly inflate prescription drug prices. It's a revelation of practices that undermine patient trust and inflate costs. Let's champion a transparent, fiduciary model that prioritizes patients over profits. Join me in advocating for change! 🌐💊 #PBM #PharmacyBenefits #Transparency #HealthcareReform #FiduciaryStandard #PatientAdvocacy

In my latest blog, I dive deep into the murky waters of how PBMs secretly inflate prescription drug prices. It's a revelation of practices that undermine patient trust and inflate costs. Let's champion a transparent, fiduciary model that prioritizes patients over profits. Join me in advocating for change! 🌐💊 #PBM #PharmacyBenefits #Transparency #HealthcareReform #FiduciaryStandard #PatientAdvocacy

In my latest blog, I dive deep into the murky waters of how PBMs secretly inflate prescription drug prices. It's a revelation of practices that undermine patient trust and inflate costs. Let's champion a transparent, fiduciary model that prioritizes patients over profits. Join me in advocating for change! 🌐💊 #PBM #PharmacyBenefits #Transparency #HealthcareReform #FiduciaryStandard #PatientAdvocacy

MedPro Systems is leading the way with #MCSR license solutions. If you are a pharmaceutical company with prescription products doing business in MA, this will impact you! Let us know if you need help or even if you just want to learn more. #MCSR #Compliance #prescription #controlledsubstances #medprosystems

Benefits Directors - I don’t envy your fiduciary responsibility of managing your plan’s drug spend. Let’s discuss a unique solution you can put in place that more than pays for itself and puts your plan’s prescription drug management in the hands of your employees and their family. It’s a Win-Win! Scripta Insights What are you waiting for? How many more companies need to get sued before you take next steps? Security is a message away. #benefitslawsuits #fiduciaryresponsibility #doingtherightthing