Business Intelligence
DomaniRx is an API-driven claims adjudication platform representing the next generation in PBMs.
Potentially avoidable hospital readmissions cost Medicare approximately $17 billion per year, research shows.
Clover is discontinuing its current co-branding arrangement with Walmart to offer MA plans in Georgia.
While revenues are down year-over-year, they still surpassed Wall Street's expectations.
People are starting to seek new avenues of care, using 2020 as an opportunity to work on health goals and reexamine priorities.
The pilot incorporates an alternative payment model with an eye toward aligning provider payment to quality and cost efficiency.
The partnership is intended to ensure needs are being met and that community services are being accessed.
MMM represents the largest MA plan in Puerto Rico, and it will allow Anthem to expand its market presence on the island.
The move is intended to lower medication costs for diabetes patients, and is the latest move by the retailer to establish a healthcare presence.
HIMSS21
Widespread use requires greater reimbursement and an enterprise-wide strategy.