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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...
How Much Health Insurers Pay for Almost Everything Is About to Go Public

How Much Health Insurers Pay for Almost Everything Is About to Go Public

by Advize Admin | Jul 1, 2022 | Healthcare

Consumers, employers, and just about everyone else interested in health care prices will soon get an unprecedented look at what insurers pay for care, perhaps helping answer a question that has long dogged those who buy insurance: Are we getting the best deal we can?...
NYSADSA Virtual Summit (Summer 2022): Cybersecurity, Healthcare, and Home Health – Are You At Risk?

NYSADSA Virtual Summit (Summer 2022): Cybersecurity, Healthcare, and Home Health – Are You At Risk?

by Advize Admin | Jun 29, 2022

Please join retired HHS-OIG Senior Special Agent Eric Rubenstein, Advize Health’s Director of Litigation, Fraud, Waste and Abuse Support will present on the above topic. He will discuss cybersecurity from a high level and inform attendees on protecting healthcare...
How Providers are Paid is Different from How Health Plans (Issuers) are Funded

How Providers are Paid is Different from How Health Plans (Issuers) are Funded

by Advize Admin | Mar 25, 2022 | Compliance

Providers are most often paid in Fee-For-Service (FFS) models for visits AFTER they occur. The patient sees a provider, a service or procedure is performed, and a bill (claim) goes to the health insurance plan (payor/issuer) for reimbursement for those services that...
Inefficacy is a 10 Letter Word for Nonsense

Inefficacy is a 10 Letter Word for Nonsense

by Advize Admin | Mar 25, 2022 | Healthcare Facepalm, OIG Files

I recently needed to get a CT scan done as part of a full physical examination.  The ordering doctor and the imaging center are associated with a very large group in the Central Florida area.  Upon leaving the visit with the physician, I was handed a hard...
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