Fact Based List:

Key strategies for the effective management of medical benefit drug spend

Submitted by GMcCalister on Fri, 04/21/2017 - 10:27


  1. Clinical and operational managing drugs billed with unclassified Healthcare Common Procedure Coding System codes.
  2. Improving claims system capabilities to capture and report National Drug Codes.
  3. Employing provider network strategies for commercial members to remove disparities in cost by outpatient site of service.
  4. Implementing benefit design strategies.
  5. Bringing transparency of medical benefit drug costs and therapeutic options to members.


Source: Specialty Pharmacy Times
Source URL: https://www.specialtypharmacytimes.com/news/annual-medical-p...



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