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January 16, 2017

Today's Featured Story    

Deep Dive on Use, Persistency Data Can Help With Contracting
Reprinted from DRUG BENEFIT NEWS

Armed with data from a pair of studies, Prime Therapeutics LLC is approaching manufacturers to see if they’d be willing to enter into innovative new contracts with the PBM. Drilling down on data such as whether use of a drug follows its indication and how the conditions that drugs are treating break down can help with managing some high-cost specialty drugs in particular..... Read Full Story

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Today's AIS Health Datapoint

36% ... of small-group plans offered for 2017 (outside of exchanges) are at the Gold actuarial level, and 61% of those are EPO model plans. The average annual in-network deductible for these plans is $463.52.

From AIS’s Rx BENEFIT DATA

 

People on the Move

John Naylor succeeded Medica’s retiring president and CEO David Tilford. Naylor previously was senior vice president of the Minnesota insurer’s commercial markets division. Tilford, who has led Medica since 2001, will assist with the transition through the end of January. Medica also promoted Paul Crowley to vice president and general manager of commercial markets. He joined the organization in 2013 as vice president and general manager within the commercial markets business unit. Prior to Medica, he worked in the Chicago office of Cigna Corp….Tufts Health Plan named Hyunsook Song vice president of product management and community relations for public plans. Prior to joining Tufts, Song was exchange director at Anthem, Inc. subsidiary Empire BlueCross BlueShield….Mike Kolar was named senior vice president and general counsel at Prime Therapeutics LLC. He previously served as chief legal officer for health care reinsurance start-up MOBE, LLC.

 

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