Articles and answers by our team of experts

Have a technical or industry question that isn’t covered here? Ask Us and we’ll send a
response. We may share it as part of our blog series so others can benefit, too.

No more HSD tables?

CMS Five Star Rating…do we dare say those words? Each year there are teams of associates and executives across health plans evaluating measures and outcomes, eagerly holding their breath while the …

read more

Industry-Wide ODAG and CDAG Monitoring Activity

Prescription Drug Event (PDE) records are the official records used by the Centers for Medicare & Medicaid Services (CMS) for Part D revenue reconciliation, coverage gap discount payments, STAR measures, 1/3 financial audits, and CMS program audits. They are critical to your success in managing Part D and your success…..

read more

Combating Fraud, Waste and Abuse – Are You Compliant?

Prescription Drug Event (PDE) records are the official records used by the Centers for Medicare & Medicaid Services (CMS) for Part D revenue reconciliation, coverage gap discount payments, STAR measures, 1/3 financial audits, and CMS program audits. They are critical to your success in managing Part D and your success…..

read more

Managing Drug Costs the Analytical Way

Managing Drug Costs the Analytical Way By Yvonne Tso, PharmD, MBA The revised annual percentage increase for Part D reported by the Centers for Medicare & Medicaid Services shows a reversal in 2015, after six consecutive years of decline between 2007 and...

read more

Q & A

We welcome your questions!

14 + 10 =