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Oct 9, 2019

Emergency department misuse: treating the underlying causes

Americans are making 14.1 million visits to emergency departments (ED) every year, but as it turns out, 55% of these visits turn out to be non-emergent.

Oct 2, 2019

Cardio wellness support: a new approach to pharmacy networks

According to the CDC, one in every four U.S. deaths can be attributed to cardiovascular disease (CVD).  Couple that with the tremendous cost—about one in every six U.S. healthcare dollars is spent on CVD—and it is safe to say that CVD is a devastating, nearly ubiquitous issue in our society.

Sep 26, 2019

Freeing health plan data using Trusted Exchange Networks

The U.S. invested over $35 billion in electronic health record (EHR) incentives, achieving adoption rates of 86% by physicians and 96% by hospitals, and creating massive amounts of data.

Sep 20, 2019

HEDIS 2020 data management – solving the supplemental data puzzle

In my final blog in this HEDIS series, I want to touch on the many facets of collecting and using data. Data collection is one of the biggest challenges health plans face in preparation for HEDIS measures.

Sep 16, 2019

URAC Accreditation validates commitment to quadruple aim

SS&C Health has more than 30 years of experience in pharmacy claims management and technology. We are proud of our history, our deep expertise and our position of leadership in that area. Moreover, today, payers and other risk-bearing healthcare organizations come to us to leverage our full array of PBM offerings.

Sep 4, 2019

HEDIS® 2020: How health plans can impact the opioid epidemic through preventive measures

Continuing this blog series on the HEDIS 2020 guidelines, I will follow up on Amy Salls’ discussion on Opioid use with some preventive measures plans can take under the pharmacy benefit.

Aug 29, 2019

Drug discount cards as a strategy to support small employers

Drug Discount Cards (DDC) can provide valuable point-of-sale price relief for consumers who are either uninsured or underinsured for prescription medications. DDCs offer access to PBM-negotiated prescription drug discounts, outside of the pharmacy benefit.  

Aug 20, 2019

HEDIS® 2020—managing high-risk opioid use

The current HEDIS Use of Opioids at High Dosage (HDO) measure assesses the percentage of members 18 years of age and older who receive opioid prescriptions at a high dosage.

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