Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.
All about medicine released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.
The best healthcare providers don't need marketing tools to attract patients, because they have data. And no amount of marketing can fix bad quality.
The number of Americans without health insurance continued to fall in 2016, according to new data from the U.S. Census Bureau. Last year, 28.1 million people, or 8.8% of the U.S. population, were uninsured for the entire year, down from 29 million people, or 9.1% of the population in 2015.
Although insurers asked for a 17.7% increase, New York's Department of Financial Services approved a 14.6% bump as it factored in the potential loss of cost sharing–reduction payments that insurers use to cover out-of-pocket expenses for lower-income consumers.
Two key senators have reached a bipartisan agreement to extend funding for cost-sharing reduction payments to insurers for two years in exchange for greater state flexibility on insurance market rules. While the proposal has industry support, it's unclear whether it can clear Congress.