Innovation enables tags to account for potential changes to data structures, thereby minimizing or eliminating the need to reprogram application programs

创新使标签能够解释数据结构的潜在变化，从而最大程度地减少或消除重新编程应用程序的需要

NEW YORK, July 23, 2024 /PRNewswire/ -- Capital Rx, the full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA) advancing our nation's healthcare infrastructure to improve drug price visibility and patient outcomes, has been awarded a U.S. Patent for its novel data tagging system used in JUDI®, the company's proprietary enterprise health platform.

2024年7月23日，纽约/PRNewswire/--Capital Rx，全面服务的药房福利管理人（PBM）和药房福利管理人（PBA），推进我们国家的医疗保健基础设施，以提高药品价格的可见度和患者的预后，因其用于公司专有企业健康平台JUDI®的新型数据标签系统而获得美国专利。

This patented tagging system enables users to configure custom rule sets without programming to dictate any desired outcome, thereby eliminating many technological difficulties users often encounter in legacy claims processing systems..

这种获得专利的标记系统使用户无需编程即可配置自定义规则集来指定任何期望的结果，从而消除了用户在传统索赔处理系统中经常遇到的许多技术困难。。

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'We are committed to investing in and upgrading JUDI's capabilities and the workflows that create efficiencies in the deployment and management of pharmacy benefit programs,' said Ryan Kelly, Co-Founder and Chief Technology Officer. 'The fact that many legacy systems rely on hardcoded data structures and are difficult and time-consuming to alter is something we have and will continue to address through innovation.'.

联合创始人兼首席技术官瑞安·凯利（RyanKelly）说，我们致力于投资和升级JUDI的能力和工作流程，以提高药房福利计划的部署和管理效率事实上，许多遗留系统依赖于硬编码的数据结构，并且很难修改并且很耗时，这是我们已经并将继续通过创新来解决的问题。”。

'Smart tags and overrides' allow Capital Rx's team to be agile and responsive in meeting clients' diverse needs.

“智能标签和覆盖”使Capital Rx的团队能够灵活响应客户的各种需求。

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How Tags and Overrides Work in a Modern Enterprise Health Platform'Smart tags and overrides, as we refer to them, are among our favorite JUDI features because they allow our teams to be incredibly nimble and responsive to our clients' needs,' said A.J. Loiacono, Co-Founder & CEO of Capital Rx. 'There's no need for 'ruleset prioritization' or additional hours of overhead cost associated with programming to make simple, intuitive changes in minutes.

标签和覆盖在现代企业健康平台中的工作原理Capital Rx联合创始人兼首席执行官a.J.Loiacono说，智能标签和覆盖是我们最喜爱的JUDI功能之一，因为它们使我们的团队能够极其灵活地响应客户的需求不需要“规则集优先级排序”或与编程相关的额外开销小时来在几分钟内进行简单直观的更改。

With JUDI, our clients can respond appropriately to anything from new regulatory guidance to a natural disaster or be creative around meeting members' unique needs.'.

有了JUDI，我们的客户可以对从新的监管指导到自然灾害的任何事情做出适当的反应，或者在满足成员的独特需求方面发挥创造性。

Illustrative use cases for the patented tagging system include:

专利标签系统的示例性用例包括：

Enabling a prior authorization (PA) bypass. For example, if a continuous glucose monitor is prescribed for a patient with a history of insulin use, if there's a specific diagnosis code, or when a particular physician writes the prescription (i.e., Gold Carding).

启用事先授权（PA）旁路。例如，如果为有胰岛素使用史的患者开具了连续血糖监测仪，如果有特定的诊断代码，或者当特定的医生开具处方（即金卡）时。

Informing the PA process and allowing for determinations about whether the claim is an administrative denial (i.e., not covered by a plan) or if it should go through the full review.

通知PA流程，并确定索赔是否属于行政拒绝（即计划未涵盖），或者是否应进行全面审查。

Allowing for the reasons for approval or rejection to appear on the outcome of a claim, enabling faster research and better communication with members, providers, and pharmacies.

允许批准或拒绝的原因出现在索赔结果上，从而能够更快地进行研究，并与成员，提供者和药店进行更好的沟通。

Controlling utilization or preventing fraud, waste, and abuse with multi-product 'refill too soon' overrides for medications like opioids or glucagon-like peptide-1s (GLP-1s).

通过多产品“过早补充”替代阿片类药物或胰高血糖素样肽-1（GLP-1）等药物来控制利用或防止欺诈，浪费和滥用。

Setting a zero-dollar cost share for test strips when a patient has a history of insulin use.

当患者有胰岛素使用史时，为试纸设定零美元成本份额。

Capital Rx's JUDI is purpose-built to redefine the administration of Medicare, Medicaid, and Commercial pharmacy programs. Originally designed to consolidate all pharmacy benefit-related workflows in one system and improve costs and service levels in the commercial market, JUDI's adaptability and modular framework allowed for the expansion to serve Medicare and Medicaid plans and enables the rapid development and deployment of new products to meet clients' needs.For more news and content related to Capital Rx's full-service PBM solution and JUDI, please visit Capital Rx Insights.About Capital Rx‍Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes.

Capital Rx的JUDI旨在重新定义医疗保险、医疗补助和商业药房计划的管理。最初旨在将所有与药房福利相关的工作流程整合到一个系统中，并提高商业市场的成本和服务水平，JUDI的适应性和模块化框架允许扩展以服务医疗保险和医疗补助计划，并能够快速开发和部署新产品以满足客户的需求。有关Capital Rx全服务PBM解决方案和JUDI的更多新闻和内容，请访问Capital Rx Insights。关于Capital Rx Capital Rx是一家全方位服务的药房福利管理公司（PBM）和药房福利管理公司（PBA），致力于推进我国的电子医疗保健基础设施，以提高药品价格的可见度和患者的预后。

As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company's cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans.

作为一家经过认证的B Corp™，Capital Rx正在通过部署JUDI®（该公司的云原生企业健康平台）和单一分类账模型™来执行其使命，该模型可提高知名度并减少药品价格的变化。JUDI在一个高效、可扩展的平台上连接了药房生态系统的各个方面，为数百万会员提供医疗保险、医疗补助和商业计划服务。

Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. To learn more, visit www.capitalrx.com.Media ContactsMichael Passanante, SVP, Marketing & CommunicationsJustin Venneri, Director, Communicationsmarketing@cap-rx.comSOURCE Capital Rx.

Capital Rx与其客户一起，正在重新规划药房福利管理，并重建对医疗保健的信任。欲了解更多信息，请访问www.capitalrx.com.Media contacts营销与传播高级副总裁迈克尔·帕萨南特，Communicationsmarketing@cap-rx.comSOURCE大写Rx。