Medicare Advantage News
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December 22, 2016

Today's Featured Story

Independent Health Stays Ahead Of Stars Curve With Pharmacist Pact
Reprinted from MEDICARE ADVANTAGE NEWS

Through a unique partnership with the Pharmacists’ Association of Western New York (PAWNY), Independent Health in 2015 embarked on a three-month pilot project to improve medication adherence and patient outcomes, marking the first time the insurer has reimbursed pharmacists for their clinical services in its eight-county service area. The program initially focused only on the three areas of medication adherence measured by the CMS star quality ratings and opportunities for tablet splitting. But the pilot results were so encouraging that the project is now in its second phase of expansion as the partners continue to explore ways to address medication-related issues among seniors.... Read Full Story

 

Quote of the Day

“There is some pain and gain for both sides on this deal.”

— Josh Golden, area senior vice president, client development at Arthur J. Gallagher & Co.’s Solid Benefit Guidance consulting arm, tells Drug Benefit News about the pharmacy network partnership agreement reached by OptumRx and CVS Health’s CVS Pharmacy unit.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "OptumRx, CVS Partner in Network Deal That Could Put More Pressure on CVS PBM" (Free for DBN subscribers; $17 for non-subscribers.)

 

Today's Datapoint

4.2 million... people residing outside of the U.S. are covered under health insurance plans offered by U.S. managed care organizations.

From AIS’s DIRECTORY OF HEALTH PLANS

 

Today from Washington

People on the Move

Juniper Pharmaceuticals, Inc. appointed Jeffrey Young chief financial officer, treasurer and secretary. He most recently served as chief financial officer and treasurer of OvaScience….ResMed named Carlos M. Nunez, M.D., chief medical officer. He previously served as senior vice president of medical affairs for Becton, Dickinson and Company….MemorialCare Health System hired Kristen Pugh as vice president of advocacy and government relations. She recently served as executive director for federal research relations at University of California, Irvine.

 

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