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January 17, 2017

Hot Topic

This week drug companies’ pricing practices are coming under renewed scrutiny. Here’s a look at AIS’s recent coverage on the topic:

Plan Sponsors Zero In on Specialty Rx Costs, Retail 90 Networks in 2017 Benefits
Drug Benefit News

Under Scrutiny, Health Plans Explain Drug Rebates, How Strategies Work in HDHPs
Health Plan Week

Stakeholders Maintain That Competition Will Be Key to Lowering Pharma Prices
Drug Benefit News

 
Today's AIS Health Datapoint

15.5 million ... people receive Medicare Part D coverage through stand-alone PDP plans. 43.74% of all Medicare eligibles receive prescription drug coverage through stand-alone PDP plans.

From AIS's MEDICARE AND MEDICAID MARKET DATA

  AIS's Medicare and Medicaid Market Data: 2016 is available for immediate delivery

Quote of the Day

"We have a lot of clients that are midsized Medicare Advantage plans that have a real presence and are actively engaged in their communities. And they are just going to have a harder time competing as they’re being forced to compete against some of these behemoths that are being created."

— Eric Goetsch, a principal and consulting actuary with the Milwaukee office of Milliman, speaking to Medicare Advantage News about Aetna Inc.’s proposed acquisition of Humana Inc.

From MEDICARE ADVANTAGE NEWS — "2017 Outlook: Uncertainties Aside, MA Plans Look to Favorable Rates, Growth Opportunities"

 

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