Archive for December 11th, 2018

Rebates!

Tuesday, December 11th, 2018

Rebate programs do not save employers money…………………………..

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Handling Health Claims: Traditional Carriers vs TPAs

Tuesday, December 11th, 2018

“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….”

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Sierra-Berkshire Associates

Tuesday, December 11th, 2018

Affordable Care Act Increases Need for Actuarial Services……………

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What Is AWP?

Tuesday, December 11th, 2018

It is an elevated drug price that is rarely what is actually paid……………So why use it?

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Rare View Behind The Curtain

Tuesday, December 11th, 2018

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…………………………..

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