Welcome to AIS Health

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 Health Plan Weekly - Kaiser Family Foundation’s new study shows that opioid addiction and overdose treatments cost large U.S. employers $2.6 billion in 2016. Two major business coalitions focused on health care tell AIS Health that the crisis affects everyone, but assert that employers are focused more on such matters as plan benefit design changes for opioid alternatives and working with health plan and PBM partners on services — and less on costs. 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 - The final 2019 payment notice and Call Letter for Medicare Advantage and Part D plans projected a sizable payment increase averaging 3.40% and finalized various proposals aimed at granting MA sponsors greater flexibility to meet the needs of individual enrollees. CMS initially projected that plan payments would improve by 1.84% on average in the draft Call Letter released Feb. 1. 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

It's quick and easy to sign up for FREE access to AISHealth.com!

Why do I need to register?

Resources for Paid Subscribers
Not a Paid Subscriber?

Check out all of the benefits, sample issues & more!