From Specialty Pharmacy News - Two long-time partners recently launched a new oncology program to better manage patient care. Read more
From Health Plan Week - Centene Corp. CEO Michael Neidorff for the second straight year came in on top of the annual CEO compensation rankings for publicly traded health insurers, clearing $20.8 million in 2015. He easily beat the next two CEOs on the list: Mark Bertolini from Aetna Inc. and David Cordani from Cigna Corp., who each accumulated $17.3 million in salary and other compensation like stock awards. Read more
From Inside Health Insurance Exchanges - The Affordable Care Act (ACA) and public exchanges won’t be the top issue during the upcoming elections. But double-digit rate hikes, exits by high-profile insurers, a dozen failed Consumer Operated and Oriented Plans (CO-OPs) and lower-than-projected enrollment will make the exchanges an easy target for Republicans during the upcoming congressional, gubernatorial and presidential elections. Open enrollment for the 2017 plan year begins Nov. Read more
From Medicare Advantage News - In the midst of earnings releases and conference calls held by publicly traded Medicare and Medicaid insurers in late April and early May, the Pennsylvania Dept. of Human Services disclosed earlier than anticipated that eight plans total, including three large insurers, had won contracts to serve the state’s mandatory Medicaid managed care program for up to five years. The big winners were incumbent UnitedHealth Group, which won across all five… Read more
From Specialty Pharmacy News - As genetic tests continue to flood the market, Cigna Corp. is preparing to expand its mandatory genetic counseling program with an eye on bringing value to an area that offers widely diverse value propositions. Read more
From Report on Medicare Compliance - CMS has made it official: Providers that use the Self-Referral Disclosure Protocol (SRDP) to report Stark violations will have to reach back six years to conform to the Medicare 60-day overpayment return rule, according to a May 6 update to the protocol. Until CMS finalized the overpayment refund regulation in February (RMC 2/15/16, p. 1; 2/22/16, p. 1), the SRDP required providers to refund only four years of Medicare reimbursement… Read more
Check out all of the benefits, sample issues & more!