The Past, Present and Future of CMS Audits

On May 14, 2021, the Centers for Medicare and Medicaid Services (CMS) released the “2020 Part C and Part D Program...

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"Nudge Theory" Proves Successful in Medication Adherence

Taking medications long term requires strong discipline and motivation; however, people often cite time management...

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News on Approval of a Non-Stimulant ADHD Medication and More

From development of nasal spray to treat dry eye disease to approval of the first Alzheimer's disease treatment in...

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Do Your Members Understand their Coverage Well Enough to Make Good Choices for their Health?

Even before the COVID-19 pandemic made its mark on history, large numbers of consumers were increasingly demanding...

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The Next Step in the Opioid Epidemic: Protecting Government-Sponsored Health Plans from...

The misuse and abuse of opioids continues to be an epidemic in this country. As efforts are made to identify and...

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Incentivizing Specialty Generics Can Save Both Plan Sponsors and Members Thousands

Specialty medications continue to be a predominant topic in the healthcare industry, as more and more of these novel...

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Needed Relief for Hard-to-Treat Skin Condition: New Treatment Options in the Drug Pipeline for...

Atopic dermatitis (AD) is a skin condition that affects approximately 9.6 million children in the United States,...

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Aiming for Better Medication Adherence Leads to a Trifecta of Improvements: Better Healthcare,...

According to the World Health Organization (WHO), approximately 50% of people with chronic conditions do not take...

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Adding Value to Pharmacy Benefit Management Through Lean Principles

It is estimated that service industries, such as health and pharmacy benefits, spend 30% to 80% in added costs from...

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Three Steps to Improving Member Health and Controlling Costs

According to the Centers for Disease Control and Prevention (CDC), six in 10 U.S. adults have a chronic disease and...

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