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January 4, 2017

Today's Featured Story

Highmark Adds Clinical Pharmacists To Its Care Management Teams
Reprinted from DRUG BENEFIT NEWS

One health plan recently added clinical case management pharmacists to its care management teams with an eye on offering an extra level of care to its members. Highmark Inc. says that the new additions will provide members with a range of services to better manage their health care needs, including helping to prevent medication errors.... Read Full Story


Quote of the Day

“I do not believe any legislation can magically make health care affordable and accessible to all Americans. Meaningful change has to come from our industry and it has to come now.”

— Brad Wilson, CEO of Blue Cross and Blue Shield of North Carolina, speaking to The AIS Report on Blue Cross and Blue Shield Plans* about efforts by the Trump administration and Congress to replace the Affordable Care Act.

Click here to read the THE AIS REPORT ON BLUE CROSS AND BLUE SHIELD PLANS article in which this quote appeared — "Blues Plan CEOs Look to 2017 With Mix of Hope, Concern About Health Care Reform" (Free for THE AIS REPORT subscribers; $17 for non-subscribers.)

* Not affiliated with the Blue Cross and Blue Shield Association or its member companies.


Today's Datapoint

2.2 million ... people nationwide receive medical coverage through Special Needs Plans (SNPs). The majority of these, 83%, are Medicare-Medicaid dual eligibles served by Dual Eligible Special Needs Plans (D-SNPs).



Today from Washington

People on the Move

The Community Oncology Alliance said Jeffrey Vacirca, M.D., FACP, CEO and managing partner/director of clinical research at New York Cancer Specialists, was elected president of the alliance for a one-year term starting Jan. 1, 2017….BridgeHealth appointed Maria McAfee vice president, labor and government. She previously has worked closely with Taft-Hartley and public sector groups across the country for companies including MaxorPlus and Catamaran….Prime Therapeutics LLC said John Drakulich has rejoined the company as chief sales officer. He had served as Prime’s vice president of sales and market development from 1997 to 2000. Most recently, he worked as senior vice president of business development at OptumRx, and has also held senior sales leadership roles with Anthem and Wellpoint NextRx.


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