AIS's Health Business Daily is a daily email newsletter with strategic business stories written by experienced AIS Health reporters, as well as other information of interest to health care business leaders — including news from the nation’s leading health insurers, developments from the federal and state governments that impact the health care industry, and exclusive datapoints from Subscribe now to get an issue delivered to your inbox every morning!
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....
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....
Last year, the global costs of oncology drugs and supportive care medications totaled $113 billion...
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.

The Featured Story of the day may be accessed on the day it is transmitted without logging in to Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on, please take a minute to create a free account now and get free access to thousands of articles, blogs and much more.

Questions or suggestions about the content in AIS's HEALTH BUSINESS DAILY should be directed to Executive Editor Jill Brown at

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm

Copyright © 2017 Managed Markets Insight & Technology, LLC. All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to