Author Archives: Doug Horn

Each year there are dozens of new drugs (56 in 2018) and new CMS HCPCS assignments (38 in January 2018), as well as hundreds of new indications approved. This is in addition to the ongoing updates in coding assignments, pricing, generic entries and more. Consider that the average cost for a medically covered drug is […]

NDC mandates have been in place for Medicaid covered lives for over a decade. In recent years, this requirement has been expanded to account for additional lines of business. This shift creates a larger member population which in turn creates new claim volume. The addition of the volume mixed with the requirement for electronic claim […]

Control your Medical Drug Spend.  Learn about medical benefit drug pricing trends. Webinar: Addressing Escalating Medical Benefit Drug Pricing In this new webinar, Addressing Escalating Medical Benefit Drug Pricing, we will break down topics like: How to identify price trends for medically billed drugs and the reasons behind those trends. How to identify the top drug […]