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Jeff Myers

High Cost/Low Use Drugs: Risks and Opportunities for Medicaid MCOs

High Cost/Low Use Drugs: Risks and Opportunities for Medicaid MCOs

High-cost, low-utilization (HCLU) drugs represent a critical concern for Medicaid plans. While these drugs account for a relatively small proportion of prescriptions, their disproportionate impact on health plan expenditures can destabilize budgets and complicate capitation rate-setting. CuraFi and ACAP are now recruiting a small group of ACAP
Jeff Myers Mar 6, 2025

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