AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
Health Plan Week
Today’s issue is brought to you by AIS's Health Plan Week, the industry's leading source of objective business, financial and regulatory news of the health insurance industry.

December 19, 2014

Today's Featured Story

Employers Should ‘Ask the Hard Questions’ About PBM Formularies
Reprinted from Health Plan Week

Employers should “ask the hard questions” to ensure that PBMs’ formulary exclusions aren’t depriving their employees of important health benefits, industry stakeholders warned at the National Business Coalition on Health’s 19th annual conference on Nov. 11 in Washington, D.C..... Read Full Story


From the AIS Blogs

Is More FDA Guidance Needed for Biosimilar Approvals?

When the Biologics Price Competition and Innovation Act passed as part of the health reform law, it established a pathway by which biosimilar drugs could gain abbreviated approval by the FDA. But beyond creating that pathway, little else about the process was laid out in the law, leaving the details up to the FDA’s discretion.... Read more


Quote of the Day

“I can’t say how many times I’ve heard that premiums are going through the roof...and people are dropping coverage. But then when we do our surveys, we might see maybe a rate increase of 6%, and we can’t find any [employers] that actually dropped coverage. Over the long term, we do see a decline in employers offering coverage, but we rarely see much of a decline year over year.”

— Jon Gabel, senior fellow at the University of Chicago’s National Opinion Research Center, told AIS’s Inside Health Insurance Exchanges.



Today's Datapoint

$250 billion ... in savings could be realized over the next 10 years if the FDA approves biosimilar versions of 11 selected biologics, according to Express Scripts Holding Co.



Today from Washington

People on the Move

Vermillion, Inc. promoted Chief Operating Officer Valerie Palmieri to president and CEO, replacing James LaFrance, who is continuing as chairman of the board....Aver Informatics named Todd Fox quality manager. Fox was previously manager of quality engineering at Manta....GuideWell Mutual Holding Corp. appointed Prakash Patel, M.D., chief operating officer of GuideWell and president of GuideWell Health. Patel was most recently CEO of Access MediQuip....Kinex Pharmaceuticals promoted Flint Besecker to chief operating officer. He was previously executive vice president and chief financial officer.


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