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RADAR on Medicare Advantage
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The number of family caregivers assisting older adults in the U.S. has surged from 18 million to 24 million over the past decade, according to a recent study published in Health Affairs. That number will only...
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Whether it’s a spouse, adult child or even a caring friend or neighbor, there’s often a caregiver assisting Medicare beneficiaries with some aspect of their health care. A recent Health Affairs study suggests there...
HEALTH PLAN WEEKLY
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CVS Health Corp.-owned Aetna plans to exit the Affordable Care Act exchange business in 2026, citing poor performance in the segment. Thomas Cowhey, CVS’s chief financial officer, said during the company’s...
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CVS Health Corp. beat analysts’ expectations during the first quarter thanks in large part to the Aetna health insurance subsidiary, which has performed better this year compared with a year ago when the...
Radar On Speciality Pharmacy
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Although people who utilize specialty drugs represent only about 6% of commercially insured member populations, they contribute to more than half of the overall pharmaceutical spend....
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As fiduciaries, employers must act in the best interests of their employees and plan, but when it comes to biosimilars, some are not fully promoting them over higher-cost, rebatable reference drugs. During a...
RADAR ON DRUG BENEFITS
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Since 2019, Prime Therapeutics has tapped The Cigna Group’s Express Scripts to handle contracting negotiations with retail pharmacies, utilizing the larger PBM’s market power to get better deals for Blue...
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The first-quarter earnings calls held by the parent companies of the country’s three largest PBMs featured discussion about Arkansas’ new PBM law and developments related to GLP-1 medications, among other...
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AIS Health is a publishing and information company that has served the health care industry for more than 30 years. Our mission is to provide our readers with an actionable understanding of the business of health care and pharmaceuticals. Our in-depth writing covers the companies, people, catalysts and trends that create the richly textured contours of the health care and drug industry. AIS Health maintains journalistic independence from our parent company, MMIT. We are committed to integrity in reporting and bringing transparency to health industry data.
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