Monthly Archives: May 2016

One of the more interesting and important findings from a pilot we recently participated in was the financial impact pharmacy can have on a payor’s total health spend. Spoiler alert: it can be very significant. But teasing out exactly what a pharmacy is doing to decrease health spend is difficult, and one of the only ways to do......
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The term clawback, when used in pharmacy, refers to an adjudicated claim for a medication that includes an extra fee to be paid by the patient above and beyond the cost of the medication. In the most basic form, a clawback looks a little like the following: Pharmacy Allowed Payment: $10.00 Total Patient responsibility: $15.00 In this simple......
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