AIS’s Directory of Health Plans

Datapoint: Fallon Health Brings Drug Pricing Tool to Medicare Advantage Members

Massachusetts-based Fallon Health on Jan. 7 unveiled a new effort to bring drug pricing transparency to seniors. The insurer has partnered with Rx Savings Solutions, a software company that offers free online tools ...
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Datapoint: Merck and Bayer’s Verquvo Scores FDA Approval

The FDA on Tuesday approved Bayer and Merck & Co.’s blockbuster hopeful Verquvo for the treatment of chronic heart failure with reduced ejection fraction (HFrEF). In the HFrEF market basket, the drug will ...
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Datapoint: Ohio Selects Single Medicaid PBM

After a years-long crusade against the traditional PBM business model, Ohio on Jan. 11 named IT firm Gainwell Technologies as the single pharmacy benefits manager for the state’s Medicaid program. State offi...
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Datapoint: Bright Health to Acquire Central Health Plan of California

Startup insurer Bright Health is set to expand its California Medicare Advantage (MA) presence with its planned acquisition of Central Health Plan of California, Inc. Central Health Plan currently serves 42,990 MA...
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Datapoint: BCBS Michigan Selects OptumRx as New PBM

Blue Cross Blue Shield of Michigan last week said it has selected OptumRx as its new pharmacy benefits manager, ending its current partnership with Cigna Corp.’s Express Scripts. The switch will take effect in Jan...
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Datapoint: Molina Completes Magellan Complete Care Deal

Molina Healthcare last week completed its acquisition of Magellan Health’s Magellan Complete Care. Magellan’s specialty Medicaid products currently serve 145,432 members in Arizona, Florida and Virginia. The i...
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Datapoint: CMS Approves Tennessee Medicaid Block Grant

With just days remaining in the Trump administration, CMS last week approved Tennessee’s waiver request to convert its traditional Medicaid funding to a block grant. Block grants, a conservative reform approach op...
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Datapoint: Tufts, Harvard Pilgrim Complete Merger

Two of the largest insurers in New England, Tufts Health Plan and Harvard Pilgrim Health Care, have officially combined, according to a Jan. 4 press release. The new organization now serves 2,136,047 lives in...
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Datapoint: Centene Strikes $2.2 Billion Deal for Magellan

Centene Corp. on Monday said it has entered an agreement to acquire Magellan Health, one of the largest independent providers of behavioral health services in the U.S. Its payer clients include Blue Cross and Bl...
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Datapoint: Regence Partners With MultiCare Health System on New ACO

Regence, one of the largest Blues affiliates in the U.S., on Dec. 23 said it has formed a new value-based partnership with MultiCare Health System. The partnership will make use of innovative data-sharing platfo...
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