Medical Benefits Management

Avalon Healthcare Solutions Announces Agreement with Health Plan Alliance Group Purchasing Organization | PR Newswire | 6/10/2020

… to enhance their business acumen and advance the quality of health care delivery in their communities. For more information, visit www.healthplanalliance.org . About Avalon Healthcare Solutions Avalon is a healthcare information technology company focused on medical benefits management . Avalon currently provides two modules: a comprehensive laboratory program to facilitate the management of all outpatient laboratory services, across all providers, and a clinical claim editing module. Both drive considerable savings for health …

Cigna And Express Scripts Partner With Buoy Health To Offer Digital COVID-19 Screening Tools | PR Newswire | 4/3/2020

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts Enables Access to SilverCloud Health Digital Program to Help Members Cope with COVID-19 Pandemic | PR Newswire | 4/3/2020

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Agile Release Manager - USA-NC-Raleigh | 3/29/2020

Tooling experience: MS Project, Rally, PowerPoint, other standard MS desktop applicationsDAY-TO-DAYAs the Agile Release Manager, you will be supporting 15 Scrum Teams that are responsible for the Medical Benefits Management Oncology product. This is a unique, dual role that will consist of Release Management (80%) with a small portion of the role dedicated to (20%) traditional project management. You will be responsible for creating release management artifacts, communication …

Express Scripts and Prime Therapeutics Collaborate to Deliver More Affordable Care to More than 100 Million Americans | PR Newswire | 12/20/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts Improves Patient Access to Digital Health Solutions | PR Newswire | 12/12/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts Improves Patient Access To Digital Health Solutions | Health IT Outcomes | 12/12/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

From Reactive to Proactive — Combining Clinical and Data Expertise for Optimal Pharmacy Outcomes | 11/16/2019

… course, preventing a problem in the first place is always preferable to fixing one that’s already happened. To learn more about myMatrixx, please visit their website . myMatrixx is a full-service pharmacy and ancillary medical benefits management company focusing on the “Customer Experience.” Share this article! Sponsored Content by Nationwide 5 Regulatory Changes that Could Increase Your EPL Risk. Insureds Need to Prepare Now Legislators are holding companies to a …

Express Scripts Unveils Reimagined Research Lab To Accelerate Transformation Of Health Care In The U.S. | PR Newswire | 11/12/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

PHYSICIAN PROGRAM SPECIALIST - #19-004605-0006 | 11/12/2019

MDH, Medical Benefits Management, Baltimore, MD Main Purpose of Job This part time (80%) position will provide medical and technical expertise to the Medicaid Program. This position will report to the Director of the Medical Benefits Management Administration in the Maryland Department of Health. This position will also be responsible for developing coverage policies and medical necessity criteria for all medical, surgical and pharmaceutical services in the Physician Program; annually …

Avalon Healthcare Solutions Launches Medical Specialty Drug Real-Time Clinical Claim Editing | PR Newswire | 10/28/2019

… leading BlueCross BlueShield plans launches new Medical Specialty Drug Benefit Management software, which tackles the fastest growing component of healthcare costs and a leading concern for payers. The software at the heart of Avalon’s Medical Benefits Management services has been applied to outpatient laboratory services, saving health plans 8 to 12 percent of outpatient lab spend. Avalon has now launched a second module to provide clinical claims editing for medical …

Avalon Healthcare Solutions Launches Medical Specialty Drug Real-Time Clinical Claim Editing | Markets Insider | Business Insider | 10/28/2019

… leading BlueCross BlueShield plans launches new Medical Specialty Drug Benefit Management software, which tackles the fastest growing component of healthcare costs and a leading concern for payers. The software at the heart of Avalon’s Medical Benefits Management services has been applied to outpatient laboratory services, saving health plans 8 to 12 percent of outpatient lab spend. Avalon has now launched a second module to provide clinical claims editing for medical …

Avalon Healthcare Solutions Launches Medical Specialty Drug Real-Time Clinical Claim Editing | BioSpace | 10/28/2019

… leading BlueCross BlueShield plans launches new Medical Specialty Drug Benefit Management software, which tackles the fastest growing component of healthcare costs and a leading concern for payers. The software at the heart of Avalon’s Medical Benefits Management services has been applied to outpatient laboratory services, saving health plans 8 to 12 percent of outpatient lab spend. Avalon has now launched a second module to provide clinical claims editing for medical …

Vice President Medical Benefits Management Solutions - Optum Payer - Central US - UnitedHealth Group - Eden Prairie, MN | 10/4/2019

… strong willingness to help clients solve their problems specific to the Medical Benefits Mgmt. segment of payer services market. We are in search of a top performing and seasoned sales professional to sell our Medical Benefits Management solutions to our Payer market accounts. This position will have primary responsibility for business development activity including prospecting, qualification, value demonstration, and opportunity closure. If you are located on the Central US MN …

Hospital-Administered Medication Boosts Healthcare Spending | HealthPayer Intelligence | 9/11/2019

… care. Most recently, Cigna revealed its new payment method to cover gene therapy with zero out-of-pocket costs for the consumer. The model relies on Cigna’s industry consolidation with Express Scripts using its medical benefits management company eviCore and specialty pharmacy and distributor Accredo and CuraScript SD to reduce healthcare spending. Whether by encouraging members to receive their treatments in a lower-cost environment or collaborating with other industry …

Cigna Uses Industry Consolidation to Increase Access to Gene Therapy | HealthPayer Intelligence | 9/9/2019

… as $15 billion, according to pharmacy data analysts at Evaluate . Dig Deeper Cigna, Express Scripts Partner to Cut Out-of-Pocket Insulin Costs Embarc Benefit Protection activates Cigna’s pharmacy benefit manager, Express Scripts; special medical benefits management company, eviCore; specialty pharmacy, Accredo; and specialty pharmacy distributor CuraScriptSD, Express Scripts. eviCore enables Express Scripts to offer gene therapies without out-of-pocket expenses. The PBM contracts with payers, employers, HMOs, and …

Petco, Express Scripts Support Paws of War | PR Newswire | 6/25/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts Simplifies Digital Health Technology Marketplace for Consumers and Payers | PR Newswire | 5/16/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts and Appriss Health Create New Military Health System Prescription Drug Monitoring Program | PR Newswire | 4/23/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between – we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Accredo, a Full-Service Specialty Pharmacy, Expands Best-in-Class Services with New Pharmacy in Hawaii | PR Newswire | 4/16/2019

… health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management , to specialty pharmacy care and everything in between, we uncover opportunities to make health care better. We stand alongside our clients and partners, collaborating to develop personalized solutions that make a meaningful difference …

Express Scripts Closes Acquisition Of eviCore; Companies Unite To Improve Healthcare For 100 Million Americans | CNBC | 12/16/2017

… while controlling costs and eliminating wasteful spend. The companies each will continue to apply evidence-based medicine, advanced data analytics and deep clinical specialization across Express Scripts’ leading pharmacy benefit management offering and eviCore’s medical benefits management (MBM) platform. “Americans want access to the best care at a reasonable cost. They don’t differentiate between medical and pharmacy services or expense, and neither should we,” said Tim Wentworth, President and CEO …

Express Scripts Closes Acquisition Of eviCore; Companies Unite To Improve Healthcare For 100 Million Americans | PR Newswire | 12/15/2017

… while controlling costs and eliminating wasteful spend. The companies each will continue to apply evidence-based medicine, advanced data analytics and deep clinical specialization across Express Scripts’ leading pharmacy benefit management offering and eviCore’s medical benefits management (MBM) platform. “Americans want access to the best care at a reasonable cost. They don’t differentiate between medical and pharmacy services or expense, and neither should we,” said Tim Wentworth , President and CEO …

Express Scripts Closes Acquisition Of eviCore; Companies Unite To Improve Healthcare For 100 | PR Newswire | 12/15/2017

… while controlling costs and eliminating wasteful spend. The companies each will continue to apply evidence-based medicine, advanced data analytics and deep clinical specialization across Express Scripts’ leading pharmacy benefit management offering and eviCore’s medical benefits management (MBM) platform. “Americans want access to the best care at a reasonable cost,” said Tim Wentworth , President and CEO of Express Scripts. “Joining forces with eviCore accelerates our shift toward holistic patient benefit …

Express Scripts (ESRX) to Buy eviCore, Fortify PBM Business - October 11, 2017 - Zacks.com | 10/11/2017

… benefit management services (MBM) solutions that drive cost reduction and quality care outcomes. Notably, eviCore will operate as a standalone business unit under Express Scripts. Express Scripts’ pharmacy benefit management coupled with eviCore’s complementary medical benefits management is likely to build a comprehensive patient benefit management (PBM) solution. This buyout will provide Express Scriptsopportunities to cross-sell to both client bases. Financial Impact The acquisition is expected to prove accretive …

Express Scripts (ESRX) to Buy eviCore, Fortify PBM Business - October 11, 2017 - Zacks.com | 10/11/2017

… benefit management services (MBM) solutions that drive cost reduction and quality care outcomes. Notably, eviCore will operate as a standalone business unit under Express Scripts. Express Scripts’ pharmacy benefit management coupled with eviCore’s complementary medical benefits management is likely to build a comprehensive patient benefit management (PBM) solution. This buyout will provide Express Scriptsopportunities to cross-sell to both client bases. Financial Impact The acquisition is expected to prove accretive …