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April 20, 2017

Today's Featured Story    

Coinsurance Was Main Pharmacy Benefit Specialty Cost-Share Tool
Reprinted from DRUG BENEFIT NEWS

While copayments have long been the dominant reimbursement methodology of specialty drugs under the pharmacy benefit, in 2016 coinsurance for the first time took the lead, according to the 2017 edition of Trends in Specialty Drug Benefits from the Pharmacy Benefit Management Institute (PBMI). Respondents continue to be concerned with increasing costs and utilization of specialty treatments.... Read Full Story

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Today's AIS Health Datapoint

5.19% ... is the increase in enrollment in New Mexico's four Medicaid managed care plans from a year ago. Membership is at 700,810 compared to 666,204 last year. Prior to expanding Medicaid in 2014, the state had 329,787 people enrolled in managed Medicaid plans.

From AIS’s DIRECTORY OF HEALTH PLANS (Preliminary research from the upcoming 2017 edition.)


People on the Move

Blue Cross and Blue Shield of Minnesota appointed Cain A. Hayes executive vice president, chief operating officer and president of the health business. He joins the Blues plan from Aetna Inc., where he was president of the national accounts business….HealthPartners named Jim Eppel executive vice president and chief administrative officer. He takes over for Andrea Walsh, who last month was promoted to president and CEO, succeeding Mary Brainerd. Eppel now is president and CEO of UCare, and previously served as senior vice president at Optum, a unit of UnitedHealth Group; chief operating officer at Blue Cross Blue Shield of Minnesota; and vice president of business development at Allina Health.


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