For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can help payers and other stakeholders manage their drug formulary more efficiently. While several classification resources are…
Author: Vedant Bhosale
Payer business operations are often cumbersome due to siloed departmental management. This fragmentation creates friction for navigating customer service and addressing complex inquiries across the enterprise.
Managing provider data is a significant challenge for many payers, due to frequent changes and inaccuracies in directory listings. Recently, generative AI and automation technologies have been identified as promising solutions. Research has shown these tools can meaningfully reduce payers'…
It’s time to shift from GenAI experimentation to meaningful implementation in healthcare with a strong focus on data integrity. The last decade has seen its fair share of volatility in the healthcare industry. From the rise of value-based payment models…
Fast-paced advancements in generative AI will change the core operations of every healthcare organization. AI-driven technology is not just a side project anymore. AI solutions including generative AI are finally advanced enough to deploy at scale and provide a frictionless…
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Navigating challenges and building trust in AI-driven Healthcare solutions Healthcare adheres to an elevated standard. This is evident in the rigorous training required for providers, the stringent safety protocols for life sciences professionals, and the stringent data and privacy requirements…
A novel approach to behavioral healthcare is desperately needed as we navigate the youth mental health crisis, which U.S. Surgeon General Vivek Murthy has described as the “defining public health challenge of our time.” While traditional, reactive treatments remain the…
Health plans often prioritize managing high-cost areas like pharmacy, behavioral health, and diabetes while overlooking Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This oversight results in unmanaged costs, leading to care delays, poor member experiences, and missed opportunities for…
The USP Drug Classification PLUS is an offering from USP that provides online, interactive access to the USP Drug Classification (an independent drug classification of FDA-approved drugs, organized by categories and classes) with:
Opioid use disorder (OUD) continues to impose a financial burden on the U.S. health care system, with direct health care costs estimated at $63 billion annually. A significant portion of these costs stem from hospitalizations related to withdrawal management and…