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October 31, 2017
Hot Topic
 
As new oncology blockbusters near FDA approval, payers are still testing reimbursement models aimed at improving quality and slowing cost increases for cancer treatments. Here’s a look at recent developments.
 
A little more than 14 months after CMS launched its Oncology Care Model (OCM) with 17 health insurers and 196 physician group practices, the experience seems to be mostly a positive one for participants....
From SPECIALTY PHARMACY NEWS
 
If the FDA chooses to follow the recommendation of one of its advisory committees, the agency could help clear the way for biosimilars of two blockbuster oncology treatments to come onto the U.S. market....
From SPECIALTY PHARMACY NEWS
 
Last year, the global costs of oncology drugs and supportive care medications totaled $113 billion...
From SPECIALTY PHARMACY NEWS
Today's AIS Health Datapoint
 
90,107 ... managed Medicaid and SCHIP lives will be up for grabs when UnitedHealthcare discontinues its Delaware Medicaid contract on Dec. 31, 2017. Those members will likely be absorbed by Highmark Health, which has served Delaware Medicaid since 2015, and AmeriHealth Caritas, which won a Medicaid contract from the state in October.
 
AIS's Medicare and Medicaid Market Data: Enrollment, Premium Rates, Benefit Designs and Strategies of Medicare and Medicaid Plans

Quote of the Day
 
“I go into these meetings and [Medicare Advantage plan executives are] debating whether it would help to have a dollar advantage on a copay. They need to focus on the big picture.”
 
— Cary Badger, principal at HealthScape Advisors, LLC, tells Health Plan Week that Medicare Advantage plans should focus on consistency in plan design instead of getting fixated on products and prices.
 
 
 

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