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Why the FTC Investigated PBMs and What it Means for You

ACMA Blog

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., OptumRx, Inc., Humana Pharmacy Solutions, Inc., References Armstrong D.

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How To Start a Therapy Practice

Valant

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. A cornerstone of patient-centered care is the behavioral health treatment plan.

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Automating Prior Authorizations: How AI Improves Patient Access to Medications

ACMA Blog

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

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Interoperability In Healthcare: What You Must Know

Arkenea

The HIMSS developed a multi-level framework to assist medical personnel in evaluating their data exchange and document management capacities. At this level, various software platforms and DMS (Document Management Systems) can securely communicate and transfer data with each other. Want to get your HealthTech project off the ground?

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11 EHR Benefits for Large Behavioral Health Practices

Valant

EHRs streamline these tasks by automating routine, repetitive processes such as appointment scheduling , patient communications, and insurance claims processing. It allows for resources to be allocated most efficiently, freeing up valuable time for clinicians and staff to focus on patient care and the patient experience.

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Health Information Exchange: What It Is and Why It Matters

Ciox

Patient Frustration: Decreased patient satisfaction over the frustration of repeatedly providing medical history to different healthcare providers, leading to a diminished sense of trust in the healthcare system. Quality improvement of clinical documentation. What is Health Information Exchange (HIE)?