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June 26, 2017

Today's Featured Story    

What Effect Will Anthem-Express Scripts Fallout Have on Industry?
Reprinted from DRUG BENEFIT NEWS

As the simmering feud between Anthem, Inc. and Express Scripts Holding Co. looks to finally have an end date, it’s anyone’s guess as to how the PBM industry will look when the dust settles. Evercore ISI, however, offered some potential outcomes during a recent webinar. During the webinar, titled “The Anthem/Express Saga + The End Game,” analyst Ross Muken observed that “the PBM industry, as well as other parts of health care services, is going through some pretty massive change.” Over the next 24 to 36 months, “we think…you’re going to see a real reshaping of that health care service landscape”... Read Full Story

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Today's AIS Health Datapoint

44.09% ... is the percentage of commercial risk attributed to Blue Cross Blue Shield plans in the U.S. in 2017. Blues plans' largest share of the commercial risk market lies in small group plans, of which BCBS insurers have 51.56% of all members.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)


People on the Move

The American Medical Association elected David Barbe, M.D., a family physician from Mountain Grove, Mo., president, and Barbara McAneny, M.D., an oncologist from Albuquerque, N.M., president-elect….Amerigroup Community Care of Georgia promoted Melvin Lindsey to president. Lindsey succeeds Francesca Gary, who recently assumed another leadership role in the organization. Lindsey joined Amerigroup in 2000 and has held several leadership positions supporting Amerigroup Georgia, including interim CEO in 2008. In addition, Amerigroup Louisiana named Aaron A. Lambert Medicaid health plan president. He most recently served as the head of operations for Amerigroup Georgia, where he led core Medicaid efforts and the development of the health plan’s foster care program.


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