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January 24, 2017

Hot Topic

This week the health care industry is focused on a federal judge’s decision to deny Aetna Inc.’s proposed purchase of Humana Inc. Here’s a look at AIS’s recent coverage on the topic:

Aetna, Humana Back Divestiture Plan As They Prepare to Defend Combo in Court
Medicare Advantage News

Aetna, Anthem Vow to Fight DOJ Lawsuits To Nix Humana, Cigna Deals Despite Odds
Health Plan Week

Aetna to Buy Humana, but Industry Weighs How Regulators Will Deal With MA Overlap
Health Plan Week

 
Today's AIS Health Datapoint

44% ... of bronze-level plans offered on individual exchanges for 2017 require a copay for specialist physician visits. The average copay is $34.

From AIS’s Rx BENEFIT DATA

  PBMI

Quote of the Day

"There’s always the unknown, that wild card out there of what could happen. But what I’m seeing now is health plans doing more and more strategic thinking instead of hunkering down as they have over the last couple of years trying to figure out how to be efficient and manage costs.... I think you’re going to see health plans start to look at the market itself almost county by county and you’re going to see a lot of varying product offerings [as] plans realize that the diversity of their population warrants more than just an HMO product."

— Jeff Fox, president and CEO of Gorman Health Group, talking to Medicare Advantage News about how Medicare Advantage plans see the Trump administration.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "2017 Outlook: Uncertainties Aside, MA Plans Look to Favorable Rates, Growth Opportunities" (Free for MAN subscribers; $17 for non-subscribers.)

 

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