In administrating Commonwealth Care, the Massachusetts' Connector has been hugely successful in enrolling people in subsidized health plans. As of last August, nearly 40,000 people had used the Connector to purchase Commonwealth plans.
Employers got a lot more aggressive about managing specialty pharmacy costs in 2011, according to a new report by the Pharmacy Benefits Management Institute.
While health plans might point to legislation and expansion of public programs as a hindrance, an increase in administrative services only (ASO) arrangements is taking a bite out of the business as well
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According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.
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