From Inside Health Insurance Exchanges - Hindered by high premiums, fierce competitors and virtually no name recognition, many Consumer Owned and Operated Plans (CO-OPs) were slow to get out of the gate last year. For the 2015 plan year, however, CO-OPs in many markets underpriced more established players inside and outside of the public insurance exchanges. Read more
From ACO Business News - There’s no doubt that managing prescription medication costs and utilization can produce good clinical results — and possibly financial results — for accountable care organizations. However, only a handful of ACOs are currently using such programs to help them handle drug costs. That doesn’t mean ACOs aren’t interested in leveraging drug use and spending to improve quality and control costs — they are. Read more
From ACO Business News - Retail pharmacy giant Walgreen Co., which launched partnerships with three Medicare Shared Savings Program accountable care organizations in January 2013 (ABN 3/13, p. 1), has quietly ended two of those pacts over the last few months, the company confirms. Walgreens completely severed ties with Marlton, N.J.-based Advocare, a multispecialty physician group with more than 350 doctors and more than 110 locations in New Jersey and southeastern Pennsylvania, says Walgreens spokesperson James… Read more
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