Jan. 7, 2011

Today’s issue is brought to you by Drug Benefit News, biweekly news, proven cost management strategies and unique data for health plans, PBMs, pharma companies and employers.

Today's Featured Story

CIGNA-Merck Diabetes Outcomes Contract Is Hailed as a ‘First Step,’ but Some Want More Data
Reprinted from Drug Benefit News

Since CIGNA Corp. and Merck & Co., Inc. first publicly disclosed results from an outcomes-based contract on oral diabetes drugs earlier this fall, many medical innovation boosters have heralded the program as the Next Big Thing. And although more skeptical observers concede the first nationwide agreement of its kind between a PBM and a drug manufacturer appears to be groundbreaking, they caution that if such initiatives are to chart a course for a widespread movement, more clinical data and greater transparency in reporting are needed .... Read Full Story


Quote of the Day

“Even though employers were paying [broker and agent] commissions in the past as part of the premium, when they see the percentage broken out [as some insurers might do under new medical loss ratio rules], will employers pay it? I think it might put a new burden on the agents. A lot of employers might be taken aback…but might say ‘times are tough’ and the employer might try to negotiate a lower commission…. In the past, that discussion didn’t take place.”

— Scott Leavitt, a broker in Boise, Idaho, and past president of the National Assn. of Health Underwriters, told AIS’s Health Reform Week.

Click here to read the AIS's HEALTH REFORM WEEK article in which this quote appeared. (Free for HRW subscribers; $17 for non-subscribers).


Today's Datapoint

$30 billion…in savings for state and federal Medicaid programs could be realized over the next decade as a result of more efficient pharmacy benefit management, according to The Lewin Group.

Click here to read the DRUG BENEFIT NEWS article in which this datapoint appeared. (Free for DBN subscribers; $17 for non-subscribers).


People on the Move

WellPoint Inc., named Jai Bills vice president of InterPlan and national accounts planning. Bills was staff vice president of planning and sales for WellPoint's national accounts business....Care Management Technologies, Inc. promoted Carol Duncan Clayton to president. Clayton was senior vice president of operations.


Today's Featured Health Business Job Opening

FTI Consulting
Senior Consultant - Forensic & Litigation Consulting Services – Regulated Industries for Managed Care and Pharmaceutical CompaniesCharlotte, N.C.

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