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DST Health Solutions Helps Control Specialty Drug Costs For Health Plans
Date:9/20/2012

BIRMINGHAM, Ala., Sept. 20, 2012 /PRNewswire/ -- DST Health Solutions, announced today the availability of its Medical Drug Management Service (MDMS) solution, which supports health plans in properly editing and paying specialty medical drug claims to help reduce compliance missteps and overpayments to providers. Health plans face extraordinary challenges to lower costs and enhance service, while improving the quality of healthcare delivery, outcomes and safety.

Over the past few years, specialty pharmacy expenditures have grown significantly. Current legislation stemming from healthcare reform has increased the level of scrutiny facing health plans and other mandated entities that report their level of drug spend to the Centers for Medicare & Medicaid Services. The increase in oversight by the U.S. Department of Health & Human Services Office of Inspector General (OIG) is increasing fraud and abuse investigations, and with the rise in medical spend for specialty drugs, significant financial penalties can be levied against healthcare organizations that fail to meet the standards.

"Given the increased intricacy, sophistication and escalated number of new specialty medications, health plans require new clinical competencies to avoid compliance errors and overpayments to providers," said Mehrdad Shafa, MD, MMM, CMQ, consultant for DST Health Solutions. "DST understands the complexity of the situation facing health plans and the level of education and insight required to remain abreast of these quickly changing mandates. MDMS addresses these challenges by properly editing the specialty drug claims, minimizing errors, improving safety, enhancing regulatory compliance, and improving member and provider satisfaction." 

MDMS supports health plans' operational issues by properly editing and pa
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SOURCE DST Health Solutions
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