We finally got around to reading the Sun Life annual High-Cost Claims and Injectable Drug Trends #Analysis. The rise of million-dollar #claims is pretty striking. We won't spoil it, but since it was in the release, "One of the most notable observations in this year's report is that cardiovascular disease (#CVD) moved up to the second spot of highest-paid claims, surpassing blood cancers for the first time in the company's 12 years of reporting..." The report link is in the comments. #knowledgeshare https://okt.to/LFz2GQ
Capital Rx
Hospitals and Health Care
New York, NY 67,766 followers
Affordable Pharmacy Benefits, Powered by Modern Infrastructure.
About us
Capital Rx is a healthcare technology company advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, the company is executing its mission through the deployment of JUDI®, Capital Rx’s cloud-native enterprise health platform, and an efficient Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one platform, servicing over 2.4 million members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. To learn more, visit capitalrx.com.
- Website
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https://cap-rx.com
External link for Capital Rx
- Industry
- Hospitals and Health Care
- Company size
- 501-1,000 employees
- Headquarters
- New York, NY
- Type
- Privately Held
- Founded
- 2017
- Specialties
- pharmacy benefit management, healthcare analytics, benefit strategy, claim adjudication, clinical services, plan implementation, health technology, group purchasing, pharmacy benefit administration, retail network management, and platform as a service
Products
Locations
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Primary
285 Fulton St
New York, NY 10007, US
Employees at Capital Rx
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Jeffrey Jollon
Senior Finance Executive | Healthcare Services | PBM
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Jack Bennett
Raising revenue, lowering costs, reducing business risk, and improving customer experience by solving complex business problems with technology and…
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Feby Abraham
Executive Vice President, Chief Strategy and Innovations Officer at Memorial Hermann Health System, Former McKinsey Partner
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Robert Mittendorff, MD, MBA
General Partner and Head of Healthcare at B Capital
Updates
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As our Co-Founder & CEO A. J. Loiacono has said over the years, "You can't build a great company without great people." We wanted to take a moment to highlight Lakysa Robinson Green, Senior Customer Care Pharmacy Technician. Lakysa recently won Best of the Best: Agents in Customer Contact during the 2024 Customer Contact Week Excellence Awards! Please join us in congratulating Lakysa on this amazing #accomplishment and thanking her for all she does for our members! #customercare #CustomerServiceExcellence
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📰🚨 Exciting news from Lehigh Valley Business Coalition on Healthcare (LVBCH) today announcing a new "preferred partner" #PBM option for members! "We strive daily to set the bar in client alignment and delight plan members, delivering the best possible overall plan performance," said Kristin Begley, PharmD. "We appreciate LVBCH's confidence in our model and commitment to providing their members with the flexibility to select solutions that meet their high standards for service capabilities and overall needs." Read more about the announcement here: https://okt.to/GocO6B #PharmacyBenefitManagement #employeebenefits
Lehigh Valley Business Coalition on Healthcare (LVBCH) Board Announces New Pharmacy Benefits Management (PBM) Partner | Capital Rx
cap-rx.com
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Between Antonio Garcia Cueto joining the team as our new CFO, hosting webinars about the Medicare Prescription Payment Plan (#M3P) and #pharmacyclaimsprocessing, earning NCQA Accreditation in Utilization Management, and multiple #award wins -- including The Stevie® Awards and Customer Contact Week -- we've been very busy this Q2. Check out all our newsworthy accomplishments below!
Quarterly Round-Up: Capital Rx in the News – Q2
Capital Rx on LinkedIn
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During our last episode of #AstonishingHealthcare, Alfonso Martinez (Director, Product Management) explained just how versatile and efficient #APIs are -- and how many different ways we use them on a daily basis. Specifically, he mentioned how, when we partner with a vendor, we can create everything that vendor needs -- the public and private key, and the permissions within JUDI® -- 𝗮𝗹𝗹 𝘄𝗶𝘁𝗵𝗶𝗻 𝘁𝗵𝗿𝗲𝗲 𝗺𝗶𝗻𝘂𝘁𝗲𝘀. Listen to the full episode here: https://okt.to/yi3pT8 #HealthTechnology #healthtechinnovation #PharmacyBenefitAdministration
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Do you know how many use cases #APIs have within #pharmacybenefits? During our 26th episode of #AstonishingHealthcare, Alfonso Martinez (Director, Product Management) explained one of the most recent capabilities made possible by APIs: payments for our new #M3P solution! Specifically, we've partnered with a leading payment processor, and thanks to both the ease of access to their APIs and JUDI®'s open nature, we can bring solutions like that to market quickly. 🎧 Listen to the entire podcast here: https://okt.to/VACebs
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It's one thing for us to say how we're different and that we can help clients reduce pharmacy program costs. It's another when our clients say it. So, "Thank you," CDPHP, for trusting us to be your #PharmacyBenefitAdministration partner. And thanks to Modern Healthcare for covering the change in our industry. ""It's been a really refreshing model," said Nick Kraft, chief growth officer at Capital District Physicians' Health Plan, which dropped CVS Caremark two years ago to partner with CapitalRx to administer pharmacy benefits for its 400,000 members... "We spreadsheet against these large PBMs, and we couldn't look more different," Kraft said, adding the nonprofit health plan has seen costs drop 9% for commercial members under the contract." #partnership #healthtechinnovation #PBM Subscription required: https://okt.to/kQyKqS
Insurers, employers see payoffs switching to smaller PBMs
modernhealthcare.com
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The 2024 Nephron Research LLC Pharmacy & #PBM Innovation Symposium couldn't be happening at a better time. A. J. Loiacono and Prime Therapeutics' Dave Schlett join Eric Percher on stage for a discussion about what's next in #pharmacybenefits and claim administration, including how JUDI® leapfrogs outdated infrastructure and provides greater control over the business. #healthtechinnovation #PharmacyBenefitAdministration #OperationalEfficiencies
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Today is #ChronicDiseaseDay. According to the CDC, approximately 120 million Americans have at least one major chronic disease. Additionally, according to the World Health Organization, only 50% of patients who suffer from chronic diseases adhere to treatment recommendations. This issue is very important to our team given how many lives it affects. If you would like to learn more about what you can do to help raise awareness and affect change, visit the page below. #ChronicDiseaseMonth #medicationadherence https://okt.to/ydqMmu
Chronic Disease Awareness Day
https://chronicdiseaseday.org
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When Krystalyn Weaver (Executive VP and CEO, National Alliance of State Pharmacy Associations) was on our latest #AstonishingHealthcare episode, we discussed #collaborativepracticeagreements. These agreements allow pharmacists to pair up with another practitioner who then delegates to the pharmacist the authority to prescribe. With these agreements, people can go to their #pharmacist to receive nicotine replacement therapy to help them stop smoking, antiviral or antibiotic #medications, and other types of preventative care. Listen to the full episode here: https://okt.to/2kq8tY