Industry News and Updates
Completing a Medicare Prescription Drug Plan Application in Contract with CMS: An Overview
The numbers of standalone Prescription Drug Plan (PDP) and Medicare Advantage plans with prescription drug benefits (MAPD) programs are increasing, meaning that organizational contracting with CMS is also on the rise. For these organizations—referred
PillarRx recovered $2,000,000 following a PBM audit!
PillarRx recovered $2,000,000 following a PBM audit! PillarRx was recently awarded a four-year contract renewal for this Municipal Employee Benefits client. PillarRx provides auditing services and CMS compliance oversight for this municipal benefit plan
3 Components of the TurboAudit
Traditional pharmacy audits are great for analyzing every claim and finding discrepancies down to the penny. However, not all customers have the need, time, or resources necessary to complete these audits. That is why PillarRx
PBM Evaluation Methods [VIDEO]
In the video below, Vice President Tammy Miller is sharing important information about PBM Evaluation Methods. In this video, she shares: What the 3 Main types of PBM evaluations are What is a Market
PillarRx’s Ongoing Auditing Services Found $161k for federal insurance provider
In 2019, PillarRx was awarded this audit project for a federal insurance provider. The scope of work included a pricing audit, plan design audit, and fraud, waste, and abuse review. This 100,000-life group offers
How Covid-19 affects Pharmacologic Management, Medication Costs, Medical Care, and the Future
It is safe to say that COVID-19 has been the number one concern in healthcare in the United States during 2020. Since January, John Hopkins University Center for Systems Science and Engineering reported that
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