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eviCore Insights

Transforming Utilization Management
Feb 05, 2019Blog Post

​In our zeal to address medical waste we have added to administrative waste. Now we are doing something about it.

Faces of eviCore: Jim Johnson
Jan 31, 2019Blog Post

Meet Jim Johnson, MD. As a full-time practicing physician, he has the unique experience of being on both ends of the peer-to-peer conversation both as a provider trying to get a procedure or test approved for a patient and as a reviewer trying to explain to a provider on ...

Deborah Kaufman: Showing Respect in Time and Tone
Jan 24, 2019Blog Post

While Dr. Kaufman enjoyed running her own practice, she decided to earn an MBA in healthcare management because she was curious about how the administrative side of healthcare really worked. "To a practicing doctor, utilization management can be kind of mysterious," she s...

Helping Patients Act As Their Own Best Advocate
Jan 22, 2019Blog Post

Helping patients understand how prior authorization and their coverage works can empower them to more effectively navigate our complex, evolving healthcare system.

Ask eviCore: Denied Requests
Jan 17, 2019Blog Post

To begin the new year, our January Ask eviCore feature is focused on adverse determinations and navigating the path forward with your patient after a request has been denied. We receive a lot of questions about this topic, so we've answered some of the most frequently ask...

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Express Scripts Subsidiary Expands Services to Healthcare Providers, Adding 100 ...
Jul 18, 2018Press Release

eviCore healthcare, a subsidiary of Express Scripts Holding Company (NASDAQ: ESRX), is adding 100 jobs in St. Louis as part of expanding its services to healthcare providers.

Express Scripts Closes Acquisition of eviCore; Companies Unite to Improve Health...
Dec 15, 2017Press Release

Express Scripts Holding Company (NASDAQ: ESRX) today announced that it has completed the acquisition of privately held eviCore healthcare, the industry leader in evidence-based medical benefit management services, for $3.6 billion. Beginning today, eviCore contributes to ...

Express Scripts to Acquire eviCore healthcare; Accelerates Company’s Shift to Pa...
Oct 10, 2017Press Release

ST. LOUIS, MO and BLUFFTON, SC (October 10, 2017) -- Express Scripts Holding Company (NASDAQ: ESRX) today announced that it has reached an agreement to acquire privately-held eviCore healthcare, the industry leader in evidence-based medical benefit management services, fo...

CMS Fully Qualifies eviCore’s Clinical Decision Support Mechanism
Jul 27, 2017Press Release

Tool Incorporates Appropriate Use Criteria from CMS-Approved Provider-Led Entity Medical Guidelines Institute

Study: First-of-its-Kind Online Chemotherapy Approval Protocol Accelerates Cance...
Oct 20, 2016Press Release

Journal of Oncology Practice publishes results of a UnitedHealthcare pilot that expedited treatment approvals, increased coverage approval rates and lowered treatment costs.

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Medicaid Enterprise Systems Conference
August 13th - 16thPortland, OR

eviCore is attending the annual Medicaid Enterprise Systems Conference (formerly known as the MMIS Conference) which brings together thought leaders from the public and private sectors to share ideas and information related to Medicaid systems and initiatives.

National Association of Medicaid Directors Conference
November 12th - 14thWashington, DC

eviCore is attending the annual NAMD conference that involves participants from across the Medicaid world. This Conference is an important venue to share state best practices and innovations to a range of stakeholders.