Rebate programs do not save employers money…………………………..
Day: December 11, 2018
Handling Health Claims: Traditional Carriers vs TPAs
“For the lion’s share of claims, the TPA is still leasing a large carrier network in order to secure the negotiated discounts with doctors and hospitals. But … there are some services for which the carrier’s network rates are egregiously high — and for those services the TPA will simply apply Medicare reimbursement levels instead….”
Continue reading Handling Health Claims: Traditional Carriers vs TPAs
Sierra-Berkshire Associates
Affordable Care Act Increases Need for Actuarial Services……………
What Is AWP?
It is an elevated drug price that is rarely what is actually paid……………So why use it?
Rare View Behind The Curtain
Drug prices are difficult to determine for patients. Drug wholesalers, distributors, healthcare providers, pharmacy benefit managers and pharmacists keep prices hidden from the public. Until now…………………………..