Expion Health

The demand for cost containment innovation is at an all-time high, yet many TPAs are hesitant to take the leap. In this post, we explore the industry’s call for change, the benefits of being a pioneer in cost containment, and the solutions available to lead the way. Now is the time to embrace innovation and seize the first-mover advantage.   Read more about the opportunities ahead and how Expion Health is driving the future of cost containment.   #HealthcareInnovation #TPA #CostContainment #ExpionHealth #Leadership #FirstMoverAdvantage

Expion Health is excited to partner with ClarisHealth and integrate our innovative ExpionIQ technology into the Pareo® platform to manage out-of-network claims with accuracy and efficiency. Our CEO Karin Humphrey, commented on the partnership, saying: “We are thrilled to announce our partnership with ClarisHealth, a move that represents a collaboration of two visionary forces in healthcare cost management. This strategic partnership is grounded in our shared commitment to transforming the payment integrity landscape. Together, we are poised to enhance the financial health of plans and payers, ensuring they remain in control of their processes and savings. By aligning our innovative technologies and strategic insights, we’re not just preparing for the future, we’re defining it.” #paymentintegrity #insuretech #costcontainment #healthinsurance

We recognize the vital role pharmacists have in our healthcare systems and how significant they are in strengthening it. We wish every pharmacist a healthy and happy day and commend your accomplishments.   #WorldPharmacistsDay #Pharmacy #Health #Healthcare  

In this recent article, we are beginning to see how even industry leaders face challenges with qualified payment amount (QPA) accuracy for No Surprises Act eligible claims in respect to CMS guidelines. The result of the audit referenced here found some QPA’s were calculated both under and over what should have been paid. This raises the question of how many health plans and TPAs are in the same boat and might be unaware of these inconsistencies. With the ongoing compliance challenges and the increase in billing disputes, one wonders:   ● How comfortable are payers with their QPA calculations? ● Are payers confident that their methodologies they are using will hold up against an audit by CMS? ● Are their vendor partners compliant with regulations?   By asking these questions, payers can think about what it means to be compliant and what steps we need to take to ensure that our processes are reliable.   Visit us at Self-Insurance Institute of America, Inc. National Conference to continue the conversation and learn how Expion Health can help you intelligently automate your QPAs while ensuring accuracy and compliance. https://lnkd.in/e7c-PKXx

Self-Insurance Institute of America, Inc. National Conference is just around the corner!   Stop by booth #718 to learn about our solutions and for a chance to win a Bushnell Wingman Golf Speaker.   We look forward to seeing you there.   #healthcare #healthinsurance #healthtech #insuretech #TPA #selfinsured #medical #pharmacybenefits #specialtypharmacy #costcontainment #selffunded #selfinsurance #SIIA

A special edition of Expion Pulse from guest author Lady Pharmington: It seems the cost of specialty drugs has soared to dizzying new heights, leaving many in a most delicate predicament. Yet, fear not, for a solution is at hand. Expion Health’s ingenious AI-driven ScriptNav is swiftly revolutionizing the management of these rising expenses. Indulge in the latest edition of the Expion Pulse to uncover the most innovative paths to savings and the cleverest of healthcare solutions. #HealthcareInnovation #SpecialtyDrugs #CostSavings #ExpionHealth #AIpowered #PatientCare #Bridgerton #HealthTech #LadyPharmington

Specialty drug costs are skyrocketing, but there’s a way forward. Discover how Expion Health's AI-driven ScriptNav is transforming the way we manage rising costs expenses. Learn more about innovative pathways to savings and smarter healthcare solutions in our Expion Pulse post. #HealthcareInnovation #SpecialtyDrugs #CostSavings #ExpionHealth #AIpowered #PatientCare #HealthTech

Connect with Expion Health at Self-Insurance Institute of America, Inc. 2024 National Conference. Stop by booth #718 to discover how we apply technology to enhance cost savings in medical and pharmacy claims. Nicholas Stone, MBA Stella Chung Jess W. Mark Lawrence Jeremy Perkinson Pete Dombroski look forward to demonstrating how we can benefit you.   #healthcare #healthinsurance #healthtech #insuretech #TPA #selfinsured #medical #pharmacybenefits #specialtypharmacy #costcontainment #selffunded #selfinsurance #SIIA

Today we celebrate the hard work and dedication of all our workers who contribute to our company and our society. We encourage everyone to take this time to rejuvenate and unwind.   #LaborDay #EmployeeWellness #Healthcare  

We are looking forward to exhibiting at Self-Insurance Institute of America, Inc. National Conference September 22-24 in Phoenix, AZ. Connect with our Medical and Pharmacy cost containment teams before or during the conference to learn more about our groundbreaking solutions such as:   ⭐️ 𝐄𝐱𝐩𝐢𝐨𝐧𝐈𝐐 𝐌𝐞𝐝𝐢𝐜𝐚𝐥’𝐬 𝐈𝐧𝐬𝐨𝐮𝐫𝐜𝐢𝐧𝐠 𝐓𝐞𝐜𝐡𝐧𝐨𝐥𝐨𝐠𝐲 - Easily insource non-network claims management with dynamic calculators, advanced algorithms, a user-friendly workflow management tool, and access to your claim management insights. 📌 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐲 𝐍𝐚𝐯𝐢𝐠𝐚𝐭𝐨𝐫 - Discover opportunities to save on specialty drug costs down to the member level and access powerful insights via ExpionIQ.     #healthcare #healthinsurance #healthtech #insuretech #TPA #selfinsured #medical #pharmacybenefits #specialtypharmacy #costcontainment #selffunded #selfinsurance #SIIA