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May 24, 2017

Headlines in the News

New York State Wants Its Prescription Drug Money Back — Or Else
Kaiser Health News, May 22, 2017

Aetna CEO says acquisitions aimed directly at size not on its list
Reuters, May 22, 2017

Blue Cross Blue Shield Association Urges ACA Revisions
Washington Examiner, May 23, 2017

From the AIS Blogs

Is Vertex’s Shift From CVS to Maxor the Sign of More Disruption?

Last week, Vertex Pharmaceuticals Inc. said it was adding Maxor National Pharmacy Services, LLC to its specialty pharmacy network on Aug. 1. Maxor is certainly not a newcomer to the industry and brings a wealth of experience and knowledge, so the move is no surprise. But what might be a surprise is that Vertex, maker of cystic fibrosis therapies Orkambi and Kalydeco, is removing CVS Specialty in the manufacturer’s network at the same time.... Read more

Today's AIS Health Datapoint

149,419,237 ... is the number of lives insured in 2017 by publicly traded health plans in the U.S., representing 49% of all enrollment. Private insurers offer plans to 33% of insured lives; the rest are covered by government entities, mutual companies and private subsidiaries of public companies.


  AIS's Directory of Health Plans: 2017 will be shipping soon - order now and save!

Quote of the Day

“We believe that if you take the model of consumer loyalty marketing and apply it to health care, that model can be flipped upside down. Delta SkyMiles or Marriott Rewards tend to reward their highest value customers, whereas in health care we think plans should be focusing on their non-compliant members in that first year when they run an engagement program, and we link rewards and incentives with that.”

— Michael Fagle, director of corporate communications at NovuHealth, tells AIS Health.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "MAOs Look to Boost Stars, Member Engagement Via Rewards Programs" (Free for MAN subscribers; $17 for non-subscribers.)


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