This is part 1 in a 2-part series of articles about optimizing medical bill review programs. Click here to read part 2.
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Networks 2.0: The Evolution of Provider Networks
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Most people agree, the U.S. healthcare delivery system is broken. But it is not all bad news.
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High Impact Pharmaceuticals: A review of relatively low volume pharmacy cost-drivers
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Pharmacy costs continue to represent a substantial portion of overall spending in healthcare.
Workers' Comp
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New York Drug Formulary and Prior Authorization Process
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The New York State Workers’ Compensation Board (NYWCB) has adopted new rules regarding its workers’ compensation drug formulary including a web-bas
Workers' Comp
CE Webinar
Evaluating Pharmacy Trends in Workers’ Compensation
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Employers, carriers, and TPAs face numerous challenges when managing pharmacy in workers’ compensation.
Workers' Comp
CE Webinar
Tips for Managing Complex Pharmacy Claims: A Case Manager’s Perspective
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This webinar is designed to provide you with tips and best practices for managing complex pharmacy claims.
Workers' Comp
CE Webinar
A Little Kindness Goes a Long Way: The Case Manager as Advocate
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Advocating for the injured worker is a key component to successful recovery and return-to-work.