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August 3, 2017

Today's Featured Story    

UnitedHealthcare Will Launch Online Prior Auth for Molecular Tests
Reprinted from SPECIALTY PHARMACY NEWS

Although UnitedHealthcare already requires prior authorization for genetic and molecular testing, the health insurer will roll out an online program nationally this fall for tests performed in an outpatient setting. The offering, according to the company, should help streamline the process and give insight into costs for multiple tests.... Read Full Story

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Today's AIS Health Datapoint

45.36% ... is the percentage of growth experienced by Blue Cross and Blue Shield of Wyoming from 2016 to 2017. The insurer gained a total of 33,070 members, increasing its total medical enrollment to 105,969 as of the first quarter of 2017.

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

RxEOB named Ken Kolb vice president of pharmacy analytics. He was previously a principal with The Kolotti Group and the director of clinical outcomes, assessment and research for Magellan Health Services….Aileen Luz, M.D., joined Blue Cross Blue Shield of North Dakota as a medical director in the Health Network Innovation department. Luz previously was a primary care physician at Fargo VA Healthcare System and a clinical assistant professor of Family and Community Medicine at the University of North Dakota, Grand Forks….BlueCross BlueShield of Tennessee promoted Robbie Sims to vice president and chief audit executive. He most recently was director of internal audit.

 

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