Tag Archives: claims

New PBM Platform, DomaniRx, Launched by SS&C, Anthem, and Humana

SS&C, Anthem, and Humana recently entered into a joint venture, named DomaniRx, LLC, to develop a contemporary, cloud-native platform to support the operation of a full service pharmacy benefits manager

Covid-19 Impact on Key Healthcare Trends for 2020 and Beyond

Key Healthcare Trends for 2020 and Beyond was published earlier this year. The following is some thoughts on the impact that Covid-19 will have on employers and other industry stakeholders.

Employers Medical Stop Loss for Specialty Rxs

Employers Medical Stop Loss for Specialty Rxs – Employers will continue to experience escalating specialty Rx costs.  Effective but expensive non-substitutable products emerging from pharmaceutical manufacturers’ development pipelines will quickly and sharply drive both pharmacy and medical benefit year-over-year spending increases. Traditional risk management tools, like stop loss insurance policies are designed to mitigate risk […]