Datapoint

Datapoint: Medicaid Work Requirements Approved in Maine, Michigan

January 8, 2019

The Trump administration last month approved both Maine and Michigan’s requests to add work requirements to their Medicaid programs. Michigan’s program, which currently serves 2,452,543 people, is set to implement the new requirements in January 2020, though current Gov. Gretchen Whitmer (D) says she is opposed to the plan. Maine’s work requirements may take effect as early as July, but Gov. Janet Mills (D) could act to suspend them. Maine currently serves 261,128 Medicaid beneficiaries.

The Trump administration last month approved both Maine and Michigan’s requests to add work requirements to their Medicaid programs. Michigan’s program, which currently serves 2,452,543 people, is set to implement the new requirements in January 2020, though current Gov. Gretchen Whitmer (D) says she is opposed to the plan. Maine’s work requirements may take effect as early as July, but Gov. Janet Mills (D) could act to suspend them. Maine currently serves 261,128 Medicaid beneficiaries.

Source: AIS’s Directory of Health Plans

Datapoint: Molina Renews PBM Contract With CVS Through 2021

January 7, 2019

Molina last week said it will extend its relationship with its pharmacy benefits manager, CVS/caremark, through 2021. CVS serves the insurer’s Medicaid, Medicare and Affordable Care Act exchange members, a total of 3,930,720 people.

Molina Healthcare last week said it will extend its relationship with its pharmacy benefits manager, CVS/caremark, through 2021. CVS serves the insurer’s Medicaid, Medicare and Affordable Care Act exchange members, a total of 3,930,720 people.

Source: AIS’s Directory of Health Plans

Datapoint: Centene Brings New PBM Partnership to Mississippi Medicaid

January 3, 2019

Centene Corp. last month said it has fully implemented a new pharmacy benefit management model in its Mississippi Medicaid subsidiary, Magnolia Health. The new model, a partnership with RxAdvance, aims to reduce administrative costs and improve member health outcomes through cloud-based, integrated member data. Magnolia Health currently serves 242,557 managed Medicaid and CHIP members.

Centene Corp. last month said it has fully implemented a new pharmacy benefit management model in its Mississippi Medicaid subsidiary, Magnolia Health. The new model, a partnership with RxAdvance, aims to reduce administrative costs and improve member health outcomes through cloud-based, integrated member data. Magnolia Health currently serves 242,557 managed Medicaid and CHIP members.

Source: AIS’s Directory of Health Plans

Datapoint: Shire Set to Compete Against Allergan With Montegrity Approval

January 2, 2019

The FDA last month approved Shire’s Montegrity for the treatment of chronic idiopathic constipation, a market that is currently dominated by Allergan’s Linzess. 58% of covered lives have preferred access to Linzess. Another recent competitor, Synergy’s Trulance, holds preferred status for only 4% of covered lives, and is not covered for another 26%.

The FDA last month approved Shire’s Montegrity for the treatment of chronic idiopathic constipation, a market that is currently dominated by Allergan’s Linzess. 58% of covered lives have preferred access to Linzess. Another recent competitor, Synergy’s Trulance, holds preferred status for only 4% of covered lives, and is not covered for another 26%.

SOURCE: MMIT Analytics, as of 12/18/18

Datapoint: Blues Plans Enroll Nearly One-Third of All Medical Lives

December 26, 2018

About 31% of all covered lives in the U.S. are enrolled in Blue Cross and Blue Shield affiliate plans, down from 35% in 2017. Anthem, Inc. dominates the Blues market, with 32.4 million members.

About 31% of all covered lives in the U.S. are enrolled in Blue Cross and Blue Shield affiliate plans, down from 35% in 2017. Anthem, Inc. dominates the Blues market, with 32.4 million members.

Source: AIS’s Directory of Health Plans