Looking Ahead to 2023: Medicare Readiness

The 2022 audit cycle is coming to a close. CMS issued its last engagement letters for 2022 program audits at the end of...

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New Guidelines for Diabetes First Line Therapy Could Lead to Increases in Drug Spend

Diabetes is an epidemic that drives a significant amount of medical cost. Eleven percent of the United States’...

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Elixir’s 2023 Formularies Drive Optimal Value with Under 1% Member Disruption

At Elixir, whole member health is at the heart of our formulary strategy and drug management practices. As we prepare...

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Taking the Limits Out of Limited Distribution Drugs for Specialty Medication Access

Specialty medications are not only used to treat complex conditions, they are themselves complex in nature. Some have...

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Inflation Reduction Act of 2022: The Basics

On August 16th, 2022, President Biden signed into law H.R. 5376, a budget reconciliation measure known as the Inflation...

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What to Know for the 2022-2023 Flu Season

According to the Centers for Disease Control and Prevention (CDC), there were as many as 14,000 flu-related deaths and...

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Is it Worth the Download: Digital Therapeutics' Place in Healthcare

Digital therapeutics (DTx) uses software programs to prevent, manage or treat diseases. They may be used with or...

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Biosimilars Versus Interchangeability: What You Need to Know

Specialty medications continue to be a large source of drug spend, in particular biologic drugs. Biosimilars pose an...

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Demonstrating the Value of Specialty Medications that Treat Cystic Fibrosis

Cystic fibrosis (CF) is a rare genetic disorder that affects one in 3,900 live births. There are approximately 30,000...

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Insights for Remaining Audit Ready: CMS Releases 2021 Audit Enforcement Report

On June 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Part C and Part D Program Audit...

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