Best of '25! AH058 - Building Judi®, the Healthcare Infrastructure of the Future, with Liya Lomsadze
Description
This "Best of '25!" episode of the Astonishing Healthcare podcast highlights Episode 58, which featured Liya Lomsadze (Director, Product Management) at Capital Rx. Liya highlights her journey from data analytics on the provider side to leading the product development of Capital Rx's Unified Claims Processing™ product, Judi Health™. We'll be back with a fresh new episode next week, but given the acquisition of Amino Health and launch of Judi Care, a unified "front end" pharmacy and medical care navigation solution, we think having an understanding of what the back end - or "chassis" - is capable of helps paint a picture of what the future of health benefits management can look like!
Liya and host Justi Venneri dive into several recent updates to the Judi® platform, highlighting Judi's overall agility and how it aids in the administration of benefit plans for Capital Rx's clients. During the discussion, they also explore:
- Improvements to the Prior Authorization (PA) Tool, including a new supervisor dashboard for PA requests.
- Judi's ability to ingest historical claims data for seamless onboarding of new clients.
- The potential expansion of Unified Claims Processing to include other insurance (e.g., vision and dental).
- Capital Rx's new Medicare Prescription Payment Plan (M3P) and Judi's ability to meet evolving CMS requirements.
- Judi's Formulary Management Tool, which aims to improve how claims are adjudicated by making formulary data both accessible and functional.
- How Judi Health aims to streamline member care and improve the patient experience.
Last, Liya praises one of Judi's most loved features - can you guess what it is? Hint: if, then.
Related Content
- Capital Rx Unveils Healthcare’s First Unified Pharmacy and Medical Claims Processing Platform
- Capital Rx Receives a US Utility Patent Covering its Enterprise Health Platform - Judi®
- How Our Favorite New JUDI Features Aid Pharmacy Benefit Administration
- AH027 - What is Pharmacy Benefit Management? With Jillian Lonson and Jean Beman, Part 1
- AH028 - What is Pharmacy Benefit Management? With Jillian Lonson and Jean Beman, Part 2
For more information about Capital Rx and this episode, please visit Capital Rx Insights.
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