HealthPlan Data Solutions (HDS) was selected by the leadership team of a state employee health plan representing nearly 300,000 covered lives to establish an industry leading pharmacy payment integrity program.
State Employee Health Plan Drives Savings Using Continuous Pharmacy Claims Monitoring Read More »
A mid-sized, regional health plan partnered with HealthPlan Data Solutions (HDS) to implement a differentiated pharmacy benefit oversight solution following years of poor experiences with their traditional PBM audit process.
The Kraft Heinz Company is currently amid a $1.3 billion legal battle with one of their key healthcare vendors responsible for managing their medical benefit. More specifically, the lawsuit claims the medical benefit vendor “paid millions of dollars in provider claims that should have never been paid dating back to 2012.” While the case specifically pertains to the administration of the medical benefit, many parallels exist with the pharmacy benefit landscape at large.
