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Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets

Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets

by Advize Admin | Nov 11, 2022 | Healthcare

Doris Spatz takes a once-a-day pill, Kisqali, to keep her metastatic breast cancer in check. As a patient in the Defense Department health system, she can fill routine prescriptions at a military pharmacy without a copay but also has the option of using a regular...
Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

by Advize Admin | Sep 23, 2022 | FWA, Healthcare

Health insurance giant Centene Corp. has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. It’s the biggest known payout by the nation’s largest Medicaid insurer over its drug pricing...

Fraud Spotlight: CVS/Caremark Network Agreement

by Erik Consorsha | Oct 17, 2019 | Fraud, FWA, Healthcare

Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...

Payers Push for Stronger Prescription Cost Control

by Erik Consorsha | Nov 11, 2016 | Healthcare, Payers

Over the years, healthcare costs have continued to skyrocket for consumers and providers alike. It is a well-known fact that the United States spends considerably more on healthcare costs than any other country in the world.  In fact, the United States spends 50...

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