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April 11, 2017

Hot Topic

Insurers increasingly are partnering with providers to build insurance products that wrap around patient-centered medical homes (PCMHs). Here’s a look at recent trends:

Blues Plans Accelerate Move to Value-Based Products Despite Uncertainty Around ACA
Health Plan Week

Mich. Blues Translates PCMH Program Into Insurance Product
Health Plan Week

Illinois Blues Plan and Oncology Group Form Intensive Medical Home
The AIS Report on Blue Cross and Blue Shield Plans*

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

Today's AIS Health Datapoint

10.53% ... is the increase in enrollment in CMS-backed, state-run demonstrations for Medicare-Medicaid dual eligibles over the latest 12-month period. In the same time period, enrollment in Dual Eligible Special Needs Plans (D-SNPs) increased 9.79%.


            Check out a demo of AIS Health's Medicare-Medicaid Dual Eligibles Database

Quote of the Day

“This bill will shine a light on this opaque [PBM] industry and promote competition to bring down the cost of prescription drugs.”

— Sen. Ron Wyden (D-Ore.), ranking member of the Senate Finance Committee, describing the Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act (S 637), which he introduced on March 15.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared — "As Lawmakers Lay Blame for Rx Price Hikes, PBMs Are Targeted With New Bills" (Free for DBN subscribers; $17 for non-subscribers.)


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