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From Drug Benefit News - Walgreens Boots Alliance, Inc. finalized its deal with Prime Therapeutics LLC to form a new company on April 3. The offering brings together the companies’ central specialty pharmacy and mail service businesses in an effort to coordinate health care, boost patient outcomes and provide cost efficiencies. The firms unveiled their plans — which do not involve Prime’s PBM business — in late August but had to wait for regulatory approval (DBN 9/9/16, p. 4). Known as AllianceRx Walgreens Prime, the company has approximately 3,000 employees and is headquartered in Orlando, Fla. Read more

From Health Plan Week - In comments responding to CMS’s Feb. 17 market stabilization proposed rule (HPW 2/20/17, p. 3), several insurance carriers expressed support for the agency’s suggested improvements, but urged it to make bolder moves to calm the turbulent individual and small-group markets. Read more

From Health Plan Week - The debate over repealing or reforming the Affordable Care Act (ACA) will have immediate consequences for individual market policyholders and Medicaid beneficiaries. But large employers also are bracing for potential fallout in their own employee benefit plans. Read more

From Medicare Advantage News - As part of an ongoing process to streamline its managed Medicaid program, the state of Illinois is in the midst of soliciting bids from insurers who will compete for a limited number of statewide contracts to serve a larger swath of Medicaid enrollees and meet certain quality objectives. Read more

From Drug Benefit News - While copayments have long been the dominant reimbursement methodology of specialty drugs under the pharmacy benefit, in 2016 coinsurance for the first time took the lead, according to the 2017 edition of Trends in Specialty Drug Benefits from the Pharmacy Benefit Management Institute (PBMI). Respondents continue to be concerned with increasing costs and utilization of specialty treatments. Sponsored by Walgreens Specialty Pharmacy, the sixth edition of the annual report was released… Read more

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