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Showing posts from October, 2017

Employers: Are You Paying More for Your Prescription Drug Program than you Expected?

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Employers, you could be paying more for your prescription drug program than you ever expected, and getting less and less for your money. You deserve the best for your investment, including topnotch service, reporting, claims analysis, and the deep discounts typically offered only to very large entities. So, how can you ensure you're getting the same service as large corporations for a price that you can afford? The answer is simple: Hire a prescription solutions expert to provide ongoing claims analysis to ensure you're getting the most for your money!


Don't Pay More For Your Prescription Drug Plan than Required
A Pharmacy benefit consultant can ensure that there is no waste taking place in prescription drug use and that employers are not paying more for their prescription drug plan than required. How we accomplish this is by conducting ongoing audits of the prescription drug claims being made throughout the year to capture any potential overspending or miscoding that could…

Understanding & Taking Control of Your Specialty Drug Spending

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It's no surprise that healthcare spending continues to rise at an alarming rate. As an increasing factor of healthcare cost, the future costs of specialty drugs are of growing concern. Specialty drugs offer hope and promise for patients and their families who suffer from severe and often life-threatening diseases. However, specialty drugs are very costly, which can tempt employers to cut coverage from plans because they don't know of another solution for dealing with these expenses. Well, Synergy Pharmacy Benefit Consultants is about to change that. This week, we're educating our readers on what specialty drugs are, their impact, and how to save on specialty drug costs without limiting the availability of them to your employees.


What is a Specialty Drug?
Specialty drugs are high-cost prescription medications used to treat complex, chronic conditions like cancer, rheumatoid arthritis and multiple sclerosis. Often times, a patient using a specialty drug requires monitoring to…

Breast Cancer: Where There's a Will, There's a Way

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Take a moment to consider this: How many people do you know who have been diagnosed with breast cancer? If you can't think of anyone directly in your circle of family, friends and acquaintances, I'm willing to bet that someone in your life knows someone who's been affected. Whether you or someone you love has been diagnosed with or affected in some way by breast cancer, it can be a scary time to work through, but Synergy Pharmacy Benefit Consultants wants you to know you're not alone in this fight...

Most Common Among Women Breast cancer is one of the most common cancers among women in the United States. By the end of 2017, an estimated 252,710 women will be diagnosed with breast cancer and, unfortunately, an estimated 40,610 women will die from it. However, recent studies show that death rates from breast cancer in the United States have dropped 39% between 1989 and 2015, and that rate continues to drop! What is the cause for this decrease in death rates? New treatmen…

Reasons to Audit Your Prescription Drug Claims

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With more than 4.5 billion pharmacy claims occurring each year, it's easy for a self-funded employer to pay the claims without questioning whether they're accurate or not. However, on average, errors are found in about 3-5% of claims, resulting in recoveries of about 1-2%. That alone should be enough to peak your interest in learning more about how you can get a free claims analysis. If you're still on the fence, take a look at some other reasons to audit your prescription drug claims.


Audits help to catch expensive coding errors.
Because most claims are automatically adjudicated electronically, even a minor coding error can result in a large number of incorrectly paid claims with a serious financial impact. Common errors may include duplicate billing, incorrect or missing discounts and rebates, and mistakes in member eligibility. A comprehensive audit checks every claim during a fixed period of time to assure compliance with contractual guarantees.

Audits verify that the be…