Payer Systems

Modern Tech Unlocks Pharmacy Benefit Efficiency
Management & Administration Modern Tech Unlocks Pharmacy Benefit Efficiency

The escalating complexity and cost of pharmacy benefits have placed unprecedented pressure on health plans, forcing many to operate within the rigid confines of outdated, legacy systems that hinder both fiscal responsibility and member satisfaction. In this highly competitive landscape, the pursuit

What Is Responsible AI for Healthcare Payers?
Management & Administration What Is Responsible AI for Healthcare Payers?

Amidst a technological gold rush driven by generative artificial intelligence, healthcare payers are navigating a complex landscape where the pressure to innovate confronts the non-negotiable demand for absolute accuracy and compliance. Unlike other industries that can afford to experiment more

How Much Do Health Costs Erode Retirement Income?
Management & Administration How Much Do Health Costs Erode Retirement Income?

Retirement planning often focuses on accumulating a substantial nest egg, but a critical and frequently underestimated factor can unravel even the most carefully constructed financial strategies: the relentless rise of healthcare costs. While gross income and Social Security benefits provide a

Will This Deal Reshape How Drug Value Is Proven?
Management & Administration Will This Deal Reshape How Drug Value Is Proven?

In an increasingly challenging pharmaceutical landscape, where the price of a new therapy is scrutinized with unprecedented intensity, simply proving a drug is safe and effective is no longer sufficient. Life sciences companies now face the monumental task of demonstrating clear clinical and

Plexis Sets AI Guardrails for Healthcare Payers
Management & Administration Plexis Sets AI Guardrails for Healthcare Payers

As the healthcare industry rapidly embraces the transformative potential of artificial intelligence, a critical question emerges regarding the balance between innovation and the unwavering need for accuracy and compliance. In response to this industry-wide dialogue, PLEXIS Healthcare Systems has

VA Reverses Policy on Abortion Access for Veterans
Management & Administration VA Reverses Policy on Abortion Access for Veterans

In a significant policy shift that has ignited a firestorm of political debate, the Department of Veterans Affairs has finalized a new rule that dramatically curtails abortion access for the nation's veterans and their families. Effective as of December 31, the regulation reverses a temporary

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