Ever wonder about the actual difference between a pharmacy benefit and a medical benefit? This explainer cuts through the health insurance jargon to break down cost-sharing protections and drug benefit practices in clear, simple terms.
There are many tools used by health plans, health insurers, and pharmacy benefit managers to help ensure patient safety, increase efficiency, and manage costs in the healthcare system. These are generally referred to as utilization management techniques. Learn more about some common tools in this overview.
A brief introduction to Medi-Cal Rx, the state program responsible for pharmacy benefits for Medi-Cal recipients. Learn about the history of the program, who it serves, and how it differs from commercial insurance.