Copay misuse at the pharmacy isn't always intentional, but the cost to your program is the same either way. Cindy Baksh, ConnectiveRx, discusses pharma's shift from reactive audits to real-time ...

Health care costs in the United States continue to rise, placing greater financial pressure on health care purchasers and consumers. According to the KFF’s 2024 Employer Health Benefits Survey, ...

A Tennessee family faced financial hardship when their insurer used a "copay maximizer" program for their son's life-saving hemophilia medication. Copay maximizer programs can prevent financial ...

Copay maximizers allow plans to “maximize” the value extracted from copay assistance programs by adjusting a patient’s cost-sharing to the maximum amount of available assistance and not allowing the ...

Matthew Turner, President of Patient Affordability, Paysign discusses how next-generation copay assistance appears to be less about consolidating services under one vendor and more about assembling ...

Co-pay accumulators and maximizers are 2 programs that insurers have started implementing to help them redirect financial assistance from the patient, said Kimberly Westrich, MA, chief strategy ...

Dedicated claims advocates employed by PEOs review medical denials, negotiate facility bills, and connect employees to ...

The surprise bill exposed how insurance rules can still leave Americans paying for costly prescriptions.

Tennesseans living with complex, chronic conditions know all too well that the systems designed to help them afford their ...