UPDATE: Federal law is beginning to move towards a solution to high prescription drug prices. The U.S. Supreme Court will soon take up a case on whether states can regulate certain aspects of prescription drug reimbursement, essentially taking on pharmacy benefit managers (PBMs) and protecting pharmacies from below-cost reimbursements. In addition, the “Lower Costs, More Cures Act” was introduced in December with the aim to lower out-of-pocket spending, protect access to new medicines, and strengthen transparency, accountability, and competition. This act has considerable bipartisan support, making it likely to pass.
Today's post is from our broker blog, AllWays Insider, which is exploring pharmacy cost trends in a series of posts.
Because many of the dollar amounts reported on cost increases are so staggering, health plans and pharmacy benefit managers (PBMs) are working together to address increasing drug costs. Here are four measures aimed to control premium and out-of-pocket insurance costs and help manage prescription drug costs.
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Starting on January 1, the AllWays Health Partners provider portal became your single-stop for claims and eligibility checks. On the portal, you can check these in less than a minute. Previously, it could take up to 10 minutes to check claims and eligibility by phone.
Not sure how to check claims and eligibility or — gasp! — not registered for the provider portal? Check out our three new demos. All three are concise, informative, and easy-to-follow for your convenience.
Today's post is from our broker blog, AllWays Insider. We're sharing because it has some great information for when your patients have questions about health insurance.
Open enrollment is in full swing, which means it’s time for employees everywhere to review their options and choose a health plan for the year ahead. This can be a stressful process involving new terminology that may leave you with questions even after you look them up. Our new guide to choosing a health plan can help employees and health care consumers looking to make sense of this complex decision.
Happy Thanksgiving to all of our providers! We hope that you have a wonderful celebration with your loved ones.
The AllWays Health partners medical directors are practicing physicians who help us to ensure that members are getting safe, appropriate, cost-effective care. Among other duties, they write and review our medical policies and advise our clinical staff.
We sat down with Dr. Lily Kam, one of our four medical directors, to learn more about her focus on community health throughout her journey from a medical student in Hawaii to a health plan medical director.