09/21/2018

    J-Codes: Your Healthcare Plan’s Biggest Enemy


    “J-Codes” and “medical specialty pharmacy” claims are going to be one of the top two procedure categories in terms of cost within your health plan. Knowing the amount of waste and abuse can give you insight into how you can develop strategies to drive more cost-effective utilization of the plan, and even enhance the benefits to the plan members for that efficient behavior. By identifying these specific issues within your plan and implementing targeted, value-based strategies to address them, you could eliminate tremendous costs without any adverse effects to your population.

     

    Join us for this complimentary, one-hour webinar as our Director of Data Analytics, Scott Mayer, talks about the financial perils and pitfalls of "J-Codes" within an employer-sponsored health plan, and how the power of data can unlock the secrets to managing its spend.

     

    Topics include:

    • What J-Codes are, how they differ from pharmacy claims and how plans bill for them

    • How providers negotiate reimbursements through the medical benefit and how it differs from the pharmacy benefit

    • The role of channel management, site of care, rebates, manufacturer assistance programs and others

     

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