From Drug Benefit News - In reporting second-quarter 2016 financial results, both OptumRx and Express Scripts Holding Co. were bullish on the 2017 selling season, but OptumRx reported stronger growth, partially fueled by its Catamaran buy last year (DBN 4/3/15, p. 1). UnitedHealth Group reported July 19 that its OptumRx unit had $15.1 billion in revenues for second-quarter 2016, up 69% from $9.0 billion in the year-ago period. Revenues for the first six months of 2016 were $29.3 billion, up from $17.2 billion for the first half of 2015. Read more
From Specialty Pharmacy News - CMS launched its Oncology Care Model (OCM) on July 1 with 17 health insurers and almost 200 physician group practices. The five-year pilot, which was developed by the Center for Medicare & Medicaid Innovation (CMMI), is focused on providing better quality and more coordinated cancer care for Medicare fee-for-service (FFS) beneficiaries, as well as other payers, but at a lower cost. Read more
From Drug Benefit News - Whether it comes to selecting a new PBM or renewing with an existing vendor, ironing out the details of a PBM arrangement is a notoriously convoluted and opaque process that can easily give way to loopholes. But by keeping an eye on several key areas, such as loosely defined terms and hidden revenue streams, plans can ensure that their contracts more closely reflect what they sought during the bidding process,… Read more
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