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July 27, 2016

Today's Featured Story

Plans Inking New PBM Deals Must Watch for Loose Contract Terms
Reprinted from Drug Benefit News

Whether it comes to selecting a new PBM or renewing with an existing vendor, ironing out the details of a PBM arrangement is a notoriously convoluted and opaque process that can easily give way to loopholes. But by keeping an eye on several key areas, such as loosely defined terms and hidden revenue streams, plans can ensure that their contracts more closely reflect what they sought during the bidding process, advised two PBM contracting experts during a recent AIS webinar.... Read Full Story

 

Quote of the Day

“A regulator should be able to hear and see the train before the collision happens. Someone approved these rates [for ACA CO-OPs] to begin with. So what’s worse...that we knew [the financial downfall of CO-OPs] was going to happen, or that we didn’t know this was going to happen?”

— Dennis Smith, a principal at the law firm Dentons US LLP, told AIS’s Inside Health Insurance Exchanges.

Click here to read the INSIDE HEALTH INSURANCE EXCHANGES article in which this quote appeared — "Can State Regulators Forbid Insurers From Making Risk-Adjustment Payments?" (Free for HEX subscribers; $17 for non-subscribers.)

 

Today's Datapoint

43% ... of young adults (age 18 to 34) are willing to consider a network without their current provider for a lower premium, according to a recent survey by the Deloitte Center for Health Solutions.

Click here to read the HEALTH PLAN WEEK article in which this datapoint appeared — "Insurers Are Learning the Do’s And Don’ts for Selling to Millennials" (Free for HPW subscribers; $17 for non-subscribers.)

 

Today from Washington

People on the Move
Global Healthcare Alliance named James Dye vice president of business development. He most recently was chief development officer for MedSynergies....Cardiac Science appointed Devdatt Kurdikar CEO. He previously was general manager of men’s health for Boston Scientific....Martin Emerson joined Monteris Medical as president and CEO. He most recently was president and CEO of Galil Medical....TapImmune, Inc. promoted Strategic Advisor and Member of the Board John Bonfiglio to president and CEO.
 

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