Top Therapeutic Classes by Cost and Utilization
1 MIN READ
Therapeutic classes falling within the top 10 most utilized and costly categories had some interesting, although not altogether unsurprising, movement. View out our latest video blog which addresses some of the changes and trends seen for the top ten drug classes both in- and out-of-network.
How Pharmacy Management Drives Better Claims Outcomes
When we look at the entire claim lifecycle, many important points stand out along the way. What type of care is the injured worker receiving? What support does he or she have throughout? What successes or problems occurred at various steps? When a claim is prolonged for many months and even years, it can be difficult to see the whole picture.
StateWatch: Summer 2018
18 MIN READ
Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the services Genex provides.
StateWatch: Bill Review June/July 2018
3 MIN READ
Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the bill review services Genex provides.
Managed vs. Unmanaged — A View Into All Pharmacy Transactions and the Differences Between Their Claim Populations
3 MIN READ
The next time you look up at the night sky and marvel at the countless stars consider this: For all the things you can see, there is far more you cannot. Most of our universe is filled with dark matter and dark energy. The stars, planets, and moons make up less than 5 percent of what’s out there. It’s a reminder that what isn’t evident can still be important. The same dichotomous view exists within the pharmacy space. There are many transactions we can see at a glance yet a still sizable number that are meaningful even though they’re not always readily apparent.
Motoring Toward Recovery
2 MIN READ
Field Case Management Meet Cheri Ratzlow, RN, COHN-S, CCM Case managers will often tell you they “see miracles happen” in their line of work.
North Carolina Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment
2 MIN READ
When do the new rules apply? The rules apply to all affected treatment in all affected claims on or after May 1, 2018.