“There’s not one definition of a specialty drug…specialty drugs have a vague group of criteria that many times isn’t clear. You have to find out how your plan defines specialty drugs. If you find generic drugs on a specialty list, you need the right people by your side to fix that.” — Vinay Patel, founder of Mako-Rx
Read MorePatients who receive medical balance bills are ill-prepared to decipher what they’re being billed for and why. If there’s any chronic disease more prevalent than healthcare “pricing toxicity”, we don’t know what that might be. Plenty of us calling for transparency in healthcare throw the term “payment integrity” on the table as often as possible. If we stop talking about it, then the predatory billers win…and we just can’t have that.
Read MoreSpoiler alert. Intermittent fasting and consistent exercise will give you the same results but with better health as an ultimate outcome...not worse health because of a drug your body didn't really need. This week’s article in BenefitsPro about the 10K patients who are suing the makers of the GLP-1s like Ozempic and Wegovy was inevitable.
Read MoreWhen BCBSNC tells us they prefer brand name drugs to low-cost generics, we did some fact checking.
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