Rethink benefit options and watch for new consolidations in your local provider market
Employers' dependent eligibility audits find 5% don't belong on the plan. Next step is voluntary opt-out followed by removal.
United says it has no plans to follow suit by selling off its pharmacy benefit services. WellPoint will oursource now.
After New York State Attorney General Cuomo's industry-wide investigation of allegations that insurers saddle consumers with too much out-of-pocket costs, UnitedHealth says it will develop a new, independent database. Consultants say this is emblematic of a more persistent problem: the relationship among payers, patients, and providers.
Walgreens’ launch of its employer-centric pharmacy, health and wellness program, exemplifies a move by providers of service innovating their delivery models.
Absent regulatory reform prompts Michigan Blues to make some hard business decisions while groups such as Put Michigan People First say BCBSM wasn't able to get individual insurance reform legislation passed because it failed to compromise with key stakeholders.
After scrutiny by the PID, Highmark and Independence Blue Cross called off their merger. PID argues that the union would have created an insurance monopoly in Pennsylvania. The two companies deny that the combination would not have lessened competition in the market.
Pfizer-Wyeth union is just another example of consolidation in the pharma industry.
Consultants speculate on who President Obama will tap to fill the HHS, FDA and IT Coordinator posts after Tom Daschle announces his withdrawal from the HHS appointment.
MCO execs should be looking at payment changes that are win-win for the payer, consumer