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October 3, 2017
Hot Topic
As workers at large employers prepare to select 2018 health coverage, AIS Health is looking back at tweaks these big purchasers have made to benefit designs.
In the constant quest to contain health care costs and improve outcomes, employers are moving in droves to high-performance networks, despite pushback from some workers who say these networks are too narrow...
Mid- to large-sized employers likely will adopt health insurance plans with somewhat higher employee cost-sharing for 2018, but probably won’t move en masse to consumer-driven health plans or value-based insurance designs...
From 2015 to 2016, employers were consistent in some of their specialty drug benefit trends, but in other areas, some interesting shifts occurred...
Quest Diagnostics

Today's AIS Health Datapoint
664,534 ... lives are enrolled in Staywell Health Plan, WellCare's managed Medicaid HMO in Florida. WellCare is the state's largest managed Medicaid insurer, with 21.9% of the market as of June 2017.

Quote of the Day
Participating in CMS’s Oncology Care Model has been “very eye opening. This program looks at the delivery of care through a different lens. It is a care delivery system that is better quality and probably lower cost.”
— Karyn Dyehouse, M.D., chief medical officer of Oncology Hematology Care, a practice in The US Oncology Network, tells Specialty Pharmacy News about her medical group’s experience with CMS’s Oncology Care Model.

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