AH037 - The Story of a Claim: Redefining the Benefit Experience, with Kevin Sundquist

On this episode of the Astonishing Healthcare podcast, Kevin Sundquist, VP of Product at Capital Rx, joins host Justin Venneri to discuss the journey of a pharmacy claim, from the prescription at the doctor's office to the pharmacy counter. Kevin explains how JUDI® allows claims to be processed efficiently and transparently and why benefit design, network selections, and utilization management programs such as prior authorization ultimately dictate how easy it is for plan members to fill their prescriptions at their local pharmacies or through the mail. Kevin aims to help people find the best prices and live healthier lives.AH037 builds on Episodes AH027 and AH028 with Jillian Lonson, PMP®, Sr. Director, Benefits Administration & Operations, and Jean Beman, Manager, Benefits Operations & Administration - our two-part What is Pharmacy Benefit Management? series that describes the importance of benefit design and configuration, as well as his webinar, The Story of a Claim. If you've ever wondered how products are developed and processes and workflows are refined to ensure medications reach patients smoothly and affordably or what a future with unified claims looks like, this episode is for you!Related ContentReplay – The Future of Pharmacy Claims Processing: A Deep Dive into a Modern Adjudication SystemPharmacy Benefits 101: Prior AuthorizationsHow Our Favorite New JUDI Features Aid Pharmacy Benefit AdministrationFor more information about Capital Rx and this episode, please visit Capital Rx Insights.