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February 22, 2017

Headlines in the News

Scheme Tied to UnitedHealth Overbilled Medicare for Years, Suit Says
New York Times, Feb. 16, 2017

Anthem, Cigna blast one another over blocked insurer merger
Indianapolis Business Journal, Feb. 19, 2017

Obamacare was 'flawed', but here's what health care should look like after reform: ex-Aetna CEO
CNBC, Feb. 19, 2017

Mom's Meals Nourish Care

Today's AIS Health Datapoint

40% ... is Moda Health's market share in the individual market in Oregon. With 92,030 members, Moda Health was the leading insurer in the Oregon individual market in 2016.

From AIS’s DIRECTORY OF HEALTH PLANS


Quote of the Day

It is “likely” that there will be “more exclusion strategies in 2017 as more ‘me-too’ drugs come to market. Also, there will likely be tighter utilization management controls so the appropriate patient has appropriate use of therapy.”

— David Lassen, Pharm.D., chief clinical officer at Prime Therapeutics LLC, tells Drug Benefit News about payers’ drug management strategies.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "Specialty Pharmacy Space Will Draw More Payer Scrutiny and Management This Year" (Free for DBN subscribers; $17 for non-subscribers.)

 

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