Capital Rx, a New York-based pharmacy benefits manager overseeing prescription benefit plans for employers, unions, and government entities, today announced it has raised $12M in growth funding led by Edison Partners.Transforming An Outdated Model“Historically, the PBM industry chose consolidation over innovation, which is why the model hasn’t evolved in twenty years,” said AJ Loiacono, founder, and CEO of Capital Rx. “The sad truth is employers procure office supplies more effectively than
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integrity
Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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UnitedHealth to Acquire Payment Integrity Company Equian for $3.2B
UnitedHealth Group Inc. has agreed to acquire payment integrity provider Equian from its private-equity owner New Mountain Capital for about $3.2 billion, according to the Wall Street Journal report on Thursday evening.Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. The company analyzes over $500B in healthcare and insurance data to ensure payments are fair, accurate, and paid by the correct party—resulting in
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IBM, KPMG, Merck and Walmart to Launch FDA Blockchain Pilot Program
IBM, KPMG, Merck, and Walmart today announced that the companies have been selected by the United States Food and Drug Administration (FDA) to be included in a blockchain pilot program in support of the U.S. Drug Supply Chain Security Act (DSCSA) that addresses requirements to identify, track and trace prescription medicines and vaccines distributed within the United States.Pilot Program OverviewThe FDA pilot program is intended to evaluate the use of blockchain technology to assist drug supply
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Cloud-Based Patient Matching Expands with Verato and MyDirectives Partnership
Verato, a provider of cloud-based patient matching, today announced that digital advance care planning company, ADVault, Inc., is the first partner in its new Powered by Verato(PBV) program. The program offers healthcare technology firms a next-generation patient matching solution that is highly accurate, secure, cost-effective, and easy to implement—all as a utility—using the Verato Universal MPI for patient matching.Powered by Verato Program BackgroundPatient matching is at the core of
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