compliance
Beyond Compliance for Payers: A Unique Opportunity
Written by: Jonathan Shannon, Senior Director of Healthcare Strategy

Now is the time for health plans to start to think beyond compliance: How can you use this newly available data to support and improve critical business functions?

provider data accuracy
Prioritize Better Outcomes with Provider Data...
Written by: Laura Long, Vertical Solutions Consultant, Provider Data

The No Surprises Act is going into effect in January 2022. While we wait for the regulation details to materialize, it is important to understand your baseline today to get ahead of what’s to come.

pharmacy compliance workflow
Helping Pharmacies Address Evolving Regulatory...
Written by: Andrew Markloff, Vertical Solutions Consultant, Provider Data

When it comes to filling prescriptions, staying abreast of the latest market developments is vital to pharmacy business continuity. The trends we are seeing today in the legislature around pharmacy compliance point to the tightening of the rules around prescriber …

Pharmaceutical Companies Need to Rethink Their...
Written by: Liz Paulson, Strategic Account Executive

Imagine your pharmaceutical company signs a multi-million-dollar contract with a research organization to do clinical trials for a new therapy. After the project gets underway, you happen to find out that the individuals who own the company are under investigation …

Does This Provider Have Prescriptive Authority?
Written by: Andrew Markloff, Vertical Solutions Consultant, Provider Data

Pharmacists and pharmacy benefit managers (PBMs) have increasing responsibilities as prescriptive rules and regulations keep changing. Before they can focus on filling a prescription accurately, in order to be compliant, they must first resolve prescriptive authority by answering difficult questions …