Employer Groups & Consultants Archives

Webinar on Demand: Meeting the Mandate—The TPA Path to RxDC Success

Employer Groups & Consultants / By Kevin Kobielski

The RxDC Reporting Deadline is Approaching—Are you Prepared? At AlignRx, we provide our valued TPA partners and their employer groups with year-round pharmacy consulting and expertise. The RxDC mandate is no exception. We covered: PBM timelines—and how they impact yours Understanding PBM charges for data submission communicating them with your clients Rebates, rebates, rebates! Ensuring …

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RxDC TPA Guide – What TPAs Need to Know

Employer Groups & Consultants / By Kevin Kobielski

The RxDC Reporting Deadline Is Approaching—Are You Prepared? The Consolidated Appropriations Act has a new Rx mandate for your employer groups and the deadline is approaching—are you prepared? The new mandate requires employer-based health plans to submit information about prescription drug and healthcare spending to the Departments of Health & Human Services, Labor, and the …

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Prediabetes and Type 2 Diabetes Screening

Clinical Insights, Employer Groups & Consultants / By Beckie Fenrick

What is happening: In August 2021 the United States Preventive Services Task Force (USPSTF) recommended that adults, aged 35 to 70 years who are overweight or obese, be screened for prediabetes or type 2 diabetes. In addition to these screenings, USPSTF recommended that clinicians should offer patients with prediabetes effective preventive interventions. Preventive interventions include …

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What Employers, TPAs and Brokers Need to Know About COVID 10 Home Testing

Clinical Insights, Employer Groups & Consultants / By Beckie Fenrick

January 10, 2022, the U.S. Department of Labor (DOL) issued guidance related to insurance coverage for COVID OTC testing, provided at no cost to covered individuals that was effective as of January 15, 2022. COVID 10 Home Testing Highlights Beginning January 15, 2022, most individuals with health insurance can purchase at home over-the-counter COVID-19 diagnostic …

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