Datapoint

Datapoint: Molina Partners With Amazon for Washington Medicaid Members

March 12, 2019

Molina Healthcare last week said it will launch a new partnership with Amazon, serving Washington Apple Health Medicaid members with the ultimate goal of addressing social determinants of health, such as food insecurity, proximity to grocery stores and transportation availability. Molina will offer its adult members a 90-day free trial of Amazon Prime, with the option of continuing to subscribe at a reduced rate of $5.99 per month. Molina is currently the market leader in Washington’s managed Medicaid program, with 715,433 members.

Molina Healthcare last week said it will launch a new partnership with Amazon, serving Washington Apple Health Medicaid members with the ultimate goal of addressing social determinants of health, such as food insecurity, proximity to grocery stores and transportation availability. Molina will offer its adult members a 90-day free trial of Amazon Prime, with the option of continuing to subscribe at a reduced rate of $5.99 per month. Molina is currently the market leader in Washington’s managed Medicaid program, with 715,433 members.

Source: AIS’s Directory of Health Plans

Datapoint: Work Requirements Fail to Take Off in West Virginia, Wyoming

March 11, 2019

Recent bills that would have added work requirements to West Virginia and Wyoming’s Medicaid programs failed to pass in state legislative sessions. Wyoming’s bill died in the House over concerns that vulnerable people may lose health coverage, while the West Virginia bill did not make it to a House vote. West Virginia currently serves 520,849 Medicaid beneficiaries, and Wyoming serves 60,397.

Recent bills that would have added work requirements to West Virginia and Wyoming’s Medicaid programs failed to pass in state legislative sessions. Wyoming’s bill died in the House over concerns that vulnerable people may lose health coverage, while the West Virginia bill did not make it to a House vote. West Virginia currently serves 520,849 Medicaid beneficiaries, and Wyoming serves 60,397.

Source: AIS’s Directory of Health Plans

Datapoint: AmeriHealth Caritas Launches New Value-Based Care Program With BAYADA

March 7, 2019

AmeriHealth Caritas last week announced a new value-based care partnership with BAYADA Home Health Care to improve outcomes for the insurer’s Medicare and Medicaid clients in need of at-home care services. The program aims to reduce hospital admission rates and prevent unnecessary emergency room visits. AmeriHealth’s 777,681 members in Delaware and Pennsylvania will be eligible for the program.

AmeriHealth Caritas last week announced a new value-based care partnership with BAYADA Home Health Care to improve outcomes for the insurer’s Medicare and Medicaid clients in need of at-home care services. The program aims to reduce hospital admission rates and prevent unnecessary emergency room visits. AmeriHealth’s 777,681 members in Delaware and Pennsylvania will be eligible for the program.

Source: AIS’s Directory of Health Plans

Datapoint: Eli Lilly Cuts Insulin Price in Half

March 6, 2019

With the pharmaceutical industry facing rising pressure over the high out-of-pocket costs of diabetes management, Eli Lilly & Co. announced this week it will offer a generic of Humalog, its popular insulin, at half the cost of the brand name. The generic’s list price will be $137.35 for a vial, and $265.20 for five injectable pens. Humalog is offered on the preferred tier for 54% of all covered lives.

With the pharmaceutical industry facing rising pressure over the high out-of-pocket costs of diabetes management, Eli Lilly & Co. announced this week it will offer a generic of Humalog, its popular insulin, at half the cost of the brand name. The generic’s list price will be $137.35 for a vial, and $265.20 for five injectable pens. Humalog is offered on the preferred tier for 54% of all covered lives.

SOURCE: MMIT Analytics, as of 3/5/19

Datapoint: Medica Launches Three Programs to Improve Member Health

March 5, 2019

Minnesota-based insurer Medica last week launched three digital-based programs to support its members through “health challenges,” including managing obesity, mitigating the risk of developing type 2 diabetes and caring for an aging or disabled relative. Medica currently serves 1,469,220 members throughout the Midwest, with more than 75% enrolled in risk-based group or self-funded products.

Minnesota-based insurer Medica last week launched three digital-based programs to support its members through “health challenges,” including managing obesity, mitigating the risk of developing type 2 diabetes and caring for an aging or disabled relative. Medica currently serves 1,469,220 members throughout the Midwest, with more than 75% enrolled in risk-based group or self-funded products.

Source: AIS’s Directory of Health Plans

Datapoint: FDA Approves Expanded Labeling for Farxiga

March 4, 2019

The FDA last week approved a new indication for AstraZeneca’s Farxiga. The drug can now be used in type 2 diabetes patients with moderate kidney impairment. Farxiga is found on the preferred tier for 34% of covered lives, and is not covered for 14%. The expanded labeling also applies to AstraZeneca’s Xigduo XR.

The FDA last week approved a new indication for AstraZeneca’s Farxiga. The drug can now be used in type 2 diabetes patients with moderate kidney impairment. Farxiga is found on the preferred tier for 34% of covered lives, and is not covered for 14%. The expanded labeling also applies to AstraZeneca’s Xigduo XR.

SOURCE: MMIT Analytics, as of 3/1/19