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From Radar on Specialty Pharmacy - CVS Health Corp. recently unveiled an initiative aimed at improving the management of chronic kidney disease (CKD), a costly condition that affects millions in the United States. CVS’s multipronged program incorporates, among other things, a focus on early disease identification and patient education. According to estimates from the Centers for Disease Control and Prevention, 30 million people in the U.S. have CKD. Read more

From Health Plan Weekly - As evidenced by recent deals and partnerships, the health insurance industry’s interest in home care is heating up. “What we are seeing here is far more than just an effort to own more of the care delivery continuum, it is a change in the way care is delivered,” says Joe Paduda, principal with Health Strategy Associates, LLC. “The end game is to have facilities care only for those in need of… Read more

From Health Plan Weekly - With its newly issued final rule for the Affordable Care Act (ACA) marketplaces, the Trump administration said it aimed to reduce the law’s regulatory burden, return more control to the states and stabilize the exchanges. Read more

From Radar on Medicare Advantage - Nearly 4.2 million out of 21 million total Medicare Advantage beneficiaries are currently enrolled in an Employer Group Waiver Plan (EGWP), with enrollment in these group retiree options rising by double-digit percentages in the last couple of years. Read more

From Radar on Drug Benefits - Despite pharmaceutical manufacturer drug price increases of nearly 10%, CVS Health Corp’s PBM Caremark reported nearly flat year-over-year drug price growth at 0.2%. Overall, 42% of payer clients spent less on their pharmacy benefit plan in 2017 than they had spent in 2016. According to the company’s annual drug trend report, in 2017, its PBM strategies reduced the drug trend for commercial clients to 1.9% per member per year: 0.2% drug… Read more

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