TriZetto Acquires Medical Data Express to Help Medicare Advantage and Medicaid Payers Manage Encounter Data
The TriZetto Group, Inc. today announced the acquisition of Medical Data Express , continuing the expansion of TriZetto s managed Medicare and managed Medicaid solutions that currently serve more than 14 million Medicare Advantage and Part D members and over 12 million Medicaid members.

Medicare drug plans to withhold pay if they suspect "doctor shopping"
Federal officials write a memo instructing Part D payers to end the "pay-and-chase" model for fighting improper drug claims.

iMANY Introduces Medicare Module for Medicare Part D Coverage Gap Compliance
Healthcare reform has brought new operational and compliance challenges to the pharmaceutical industry. For pharmaceutical manufacturers, new quarterly requirements to close 50 per

Medicare recipients benefit from the Affordable Health Care Act
My longtime friend, an ardent Republican, will be happy if President Barack Obama leaves office next year. But I suspect that, to her surprise, she'll be upset if the Affordable Care Act he signed in 2010 goes with him.