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October 5, 2017
Today's Featured Story
Magellan Report Shows Double-Digit Medicaid Specialty Cost Growth
In 2015 and 2016, specialty net cost per claim had double-digit growth in the Medicaid fee-for-service (FFS) space, according to a new report from Magellan Rx Management. HIV/AIDS therapies led the specialty net spend for the second year in a row, with the average prescription net cost rising by almost 30%....  Read Full Story
Quest Diagnostics

Today's AIS Health Datapoint
54% ... of WellCare members have access to Remicade, a DMARD used to treat ulcerative colitis and other autoimmune diseases, on the specialty tier, with prior authorization or step therapy. 24% of formularies do not cover Remicade, which is known for its high cost, and only 6% place it on the preferred tier.
SOURCE: MMIT Analytics, as of Oct. 2, 2017

People on the Move

Ken Lautsch joined Blue Shield of California as vice president and general manager of Core Accounts. He most recently served as west region vice president for sales at UnitedHealth Group, and also served in leadership positions at Aetna Inc., The Hartford and Prudential Insurance. The insurer also promoted Jim Elliott to vice president of Third Party Administrator Partnerships. He previously served as vice president and general manager of Producer and Channel Partnerships, Small Group and Core Accounts. Prior to joining Blue Shield, Elliott served in executive leadership positions at Anthem Blue Cross of California….Brady Risk Program Managers and its partner companies, Tritan Risk Management Group and Healthcare Risk Management Group said Michael McKeown joined the firm as senior vice president, brokerage and program management services. He previously led the brokerage division in the New York region for York Risk Services (formally the Risk Management Planning Group).


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