Why Health Plans Should Conduct Internal Medicaid Risk Assessments and Where to Start

By Sonya Henderson
Wed, Oct, 18, 2017

Health plans that serve Medicaid beneficiaries are coming under increasing state regulatory scrutiny that exposes them to significant financial and contractual risks. For this reason, it’s important that each health plan develop a Medicaid Risk Assessment process to identify and mitigate risks and maintain contract compliance.


PBM Audit Best Practices: Tips for Prioritizing and Conducting PBM Audits

Yvonne Zachman Fiedler & Derek Frye
Thu, Jun, 29, 2017

Pharmacy Audits: Removing the Ambiguity Between Health Plan and PBM

Margaret Berlack & Derek Frye
Thu, May, 25, 2017

Receive full value from your PBM rebates

Chris Hanson-Ehlinger
Thu, Nov, 20, 2014

Align data validation stakeholders to avoid last minute mistakes

Chris Hanson-Ehlinger
Mon, Aug, 18, 2014

Are your PBM pricing discounts seriously underperforming?

Chris Hanson-Ehlinger
Mon, Apr, 07, 2014
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