What Health Plans Need to Know about Medicaid Encounter Data

By Sonya Henderson
Thu, Dec, 07, 2017

In recent years, Medicaid has put greater emphasis on requiring health plans to capture and report back more detailed Medicaid Encounter Data to the state. Unfortunately for health plans, this can be a complex internal process where things often go wrong – putting them at significant financial risk.

Latest

Improving Drug Utilization Review Controls

Jason Hoyme
Tue, Nov, 21, 2017

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
Free Guide

The Health Plan's Guide to Auditing your Pharmacy Benefit Manager Contract from A to Z

Download Now
Privacy Policy