pbm audits

Medical and Rx costs commonly lack transparency, making medical claim and pharmacy benefit manager audits essential for financial control. The top five health plans in the U.S. rival the largest tech companies in terms of dollar volume -- and health care expenses, like technology investments...

Maximizing the value of medical claim and PBM audits for your benefits plans requires leveraging every aspect of the auditor’s report. Today, understanding audit findings is more straightforward than ever. Recent innovations have greatly improved two key aspects of medical and pharmacy claim...