We all know the home drug infusion business is growing as companies send out technicians and clinical personnel to administer treatments at home versus making a trip to the hospital or to the doctor’s office. This is yet one more subsidiary added to the app…
Continue ReadingHere we go again. If you haven’t figured this out yet, when you buy a Cigna Health insurance policy you get a two for one with 2 insurers. Cigna provides the insurance benefits and then it’s pharmacy benefit manager, PBM OptumRX (biggest revenue sector subs…
Continue ReadingYou can read the CMS Sanctions Cigna-No More Selling Any New Medicare Advantage Policies Until Algo Problems Denying Medical Coverage and Prescription Denials Are Fixed United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefi…
Continue ReadingOne thing we all hate is the high prices we pay in the US today for our prescriptions. Sure we do get some discounts, but that too has become an effort in algorithmic shopping to click here and click there to get the best price. It shouldn’t have to be that…
Continue ReadingIf you have watched the news of late, drug prices that we pay are a big item as the price of drugs keeps United Healthcare Hits the Bottom of the Barrel Linking Doctor Information to Healthgrades Flawed Data Of course in this video, which pharmacy benefit ma…
Continue ReadingAs if there’s not enough pharmacy benefit management taking place at United, the company owns Optum, RX which was formerly known as prescriptive solutions and in some areas that PBM has put some smaller pharmacy benefit managers out of business. Here’s fro…
Continue ReadingHere’s another purchase, CMS Sanctions Cigna-No More Selling Any New Medicare Advantage Policies Until Algo Problems Denying Medical Coverage and Prescription Denials Are Fixed Helios has some big contracts as well, such as the US Post Office and Southwest A…
Continue ReadingBy now we should all know the insurers are looking at ways to keep the cost of healthcare down and now it’s coming down to pretty much an “algorithm stick” for the doctors to deal with. This new company, interestingly enough is being headed from a former Whi…
Continue ReadingEveryone now has made the big change to convert from ICD9 to ICD10 Coding for medical billing. When all of this was taking place, many said it would really not improve care and so far, that’s what we have seen. The big coding change has not any impact in th…
Continue ReadingSo let’s get down to what’s really happening here. Once upon a time the PBM models were a different type of creature but as time moved on they became less about a better and affordable price for prescriptions and more about and algorithmic machine to create …
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