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OCTOBER 18, 2023

4 Case Studies Highlight AI’s Role in Improving Pharmacy Benefit Performance

By Kate Baggaley

Artificial intelligence and machine learning can flag claims errors, prevent fraud, waste and abuse and streamline benefit contract reviews, speakers noted during a session at the AMCP Nexus 2023 meeting.

“We have 100% of our claims run through a technology platform”—a process that has yielded many of the benefits cited above, said Jessica Hatton, PharmD, BCACP, the associate vice president of pharmacy at CareSource, a nonprofit managed care organization,