AIS’s Directory of Health Plans

Datapoint: ASO Plans Continue to Make Gains

January 9, 2019

Enrollment in Administrative Services Only (ASO), or self-funded plans is up 3.5% from last year, according to the latest update to AIS’s Directory of Health Plans. Nationwide, 38% of all covered lives are enrolled in a self-funded plan.

Enrollment in Administrative Services Only (ASO), or self-funded plans is up 3.5% from last year, according to the latest update to AIS’s Directory of Health Plans. Nationwide, 38% of all covered lives are enrolled in a self-funded plan.

Source: AIS’s Directory of Health Plans

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