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January 5, 2017

Today's Featured Story

Medica Exit From Minn. Medicaid Leaves Lives Up for Grabs in 2017
Reprinted from MEDICARE ADVANTAGE NEWS

Citing substantial losses incurred this year and a failure to secure actuarially sound payment rates for the second year of a new contract, longtime Minnesota insurer Medica has informed the Minnesota Dept. of Human Services (DHS) that it will exit two of the state’s public health care programs — the Prepaid Medical Assistance Program (PMAP) and MinnesotaCare — as of May 1, 2017. Medica’s exit will impact approximately 310,000 Medicaid enrollees, creating the potential for once-dominant insurer UCare to gain back some of the members it lost this year due to a new statewide competitive bidding process.... Read Full Story

 

Quote of the Day

“As we looked at all our strategies, we came to discover a needed individualistic approach,” since members have diverse needs and lives, and no one medication adherence program will suit everyone as a one-size-fits-all solution. “We just couldn’t do a pill box for everybody.”

— Jay Gandhi, Pharm.D., divisional vice president for enterprise pharmacy at Health Care Service Corp., tells Drug Benefit News about a Medicare Advantage medication adherence initiative that enlisted pharmacists at four supermarket chains.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "HCSC Enlists Pharmacists to Boost Medicare Adherence Levels" (Free for DBN subscribers; $17 for non-subscribers.)

 

Today's Datapoint

$94.01 ... is the lowest premium offered to a 27-year-old individual for 2017; it is for a catastrophic-level CareFirst BlueCross BlueShield HMO plan in the District of Columbia. The highest 2017 premium for a 27-year-old is $908.00, for a gold-level Premera Blue Cross PPO in Alaska’s rating area #2.

From AIS's HEALTH INSURANCE EXCHANGE DATABASE

 

Today from Washington

People on the Move

Neurocrine Biosciences, Inc. said Chief Financial Officer Timothy P. Coughlin will step down from his position in mid-February. The company’s board has initiated a replacement search and Coughlin has agreed to continue with the company through 2017 to aid in the transition….Independent Living Systems said it named Bryan Herbert vice president of sales covering the Southeast and Central markets and Korinne Bigelsen vice president of sales covering the Northeast market. Herbert previously served as the regional vice president of sales for DST Health Solutions and Bigelsen served as vice president of sales for MagnaCare.

 

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