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December 27, 2016

Today's Featured Story

State-Mandated PDL Led to Rise in Drug Costs in Fla. Medicaid Program
Reprinted from DRUG BENEFIT NEWS

When Florida overhauled its Medicaid program in 2011, one of the changes required managed care companies participating in Florida’s Medicaid managed care program to use a state-mandated preferred drug list (PDL) instead of their own formularies. And although proponents of the legislation claimed that it would help hold down costs in the program, a recent study shows that drug costs actually increased after the PDL requirement was implemented in July 2014. While formularies certainly can be a useful tool to mitigate increasing drug costs, there may be unintended consequences when plans lack the ability to make changes to them.... Read Full Story


Quote of the Day

The FDA’s decision to approve two expensive diabetes drugs that combine a basal insulin and a glucagon-like peptide-1 (GLP-1) receptor agonist give “additional options to choose from for patients that are still not getting adequate control or can tolerate their current or various treatment options. And while there is often skepticism in manufacturers combining individual drugs into a single product, some may view this as a good step in the direction of a product that can provide substantial A1c lowering for diabetes control, while reducing/eliminating adverse effects that often cause failure or limit a patient’s tolerability in taking one or more diabetes medications to manage their diabetes.”

— Lynn Nishida, area vice president of pharmacy at Solid Benefit Guidance, tells Drug Benefit News

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "Payers Will Have Wealth of Considerations For Coverage of New Diabetes Therapies" (Free for DBN subscribers; $17 for non-subscribers.)


Today's Datapoint

29 ... Blue Cross and Blue Shield plans are active in the managed Medicaid market, vs. 34 BCBS plans that do not participate in any Medicaid programs.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)


Today from Washington

People on the Move

Misonix, Inc. appointed Stavros G. Vizirgianakis president and CEO. He has served as interim CEO since September….Neighbors Health, LLC. named Tensie Homan Axton chief financial officer. She previously was the office managing partner of KPMG LLP and the partner in charge of transaction services….Civitas Senior Living hired Dionne Motal as vice president of human resources. She previously led a district based human resource team at Sava Senior Care and served as the senior vice president of skilled healthcare prior to its merger with Genesis Healthcare Systems.    


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