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Managed Care November 2007 Martin Sipkoff |
PBMs Agree to Disclose What They Pay for Drugs Pharmacy benefit managers will charge employers a straight administrative fee, rather than make much of their income through deals with the drug industry. |
Managed Care September 2006 Martin Sipkoff |
PBMs Raise the Curtain Efforts are under way to find out exactly how pharmacy benefit managers work their magic. |
Managed Care February 2008 |
Antitrust Exemption Sought in Congress The so-called Community Pharmacy Fairness Act (HR 971) would allow independent pharmacies to negotiate collectively with health plans, insurers, and PBMs, including plans under Medicare parts C and D. |
Managed Care October 2005 |
Health Plans Pay Less When PBM Owns Mail-Order Pharmacy The ongoing debate on whether health plans pay more for drugs when using a mail-order pharmacy owned by a pharmacy benefits manager (PBM) or when the mail-order pharmacy is not owned by a PBM may be closer to resolution. |
The Motley Fool May 29, 2009 Brian Orelli |
The "Naughty List" You Want Your Company On Athenahealth is out with its annual review of how quickly health insurers are paying the claims that doctors make for services. |
Managed Care May 2007 |
Headlines On Deadline ... AARP will expand its relationship with UnitedHealth Group and create a new relationship with Aetna... Savings from using the mail order option offered by PBMs help the member, but results in minimal cost reductions for the insurer... |
The Motley Fool November 3, 2010 Brian Orelli |
A Generic Prescription for Double-Digit Growth MedcoHealth Solutions has it. |
Managed Care June 2005 |
PBMs Get Thumbs up From Satisfied Customers Pharmacy benefit managers that educate physicians on the safety and efficacy of generic drugs or provide them with generic drug samples to increase the use of generics get higher satisfaction ratings than those that don't. |
The Motley Fool July 30, 2009 Brian Orelli |
A Good Business Model for Bad Times Some businesses benefit when people are hurting. It's a beautiful time to be a pharmacy benefit manager, since that business model essentially results in them making more money when their customers save money. |
The Motley Fool December 29, 2005 Brian Gorman |
PBMs at a Crossroads One prediction that's sure to come true next year -- drug prices will rise. Pharmacy benefit management (PBM) companies will respond. But the year ahead promises to be trickier for investors seeking to profit from PBMs. |
Managed Care March 2005 MargaretAnn Cross |
Transparency Catches Eye In Coalition's Deal With Medco A consortium of employers is paying the pharmacy benefit manager a new administration fee but taking all rebates and discounts. |
Managed Care April 2005 |
Small HMO Takes Big Step: Decides To Launch PBM One small health insurer sees an opportunity in the recent woes that pharmacy benefits managers have experienced. |
The Motley Fool March 6, 2009 Brian Orelli |
Don't Let It Go! Health insurer WellPoint is trying to sell its pharmacy business management segment. Is it the right move for them for right now? |
CFO February 22, 2005 Martha E. Mangelsdorf |
I Want a New Drug Plan Companies hoping to curb prescription-drug charges are looking at a host of new cost-control measures. |
Managed Care July 2004 Maureen Glabman |
Wish List: 10 Things You Want From Your PBM One auditor estimates that 3 percent to 10 percent of pharmacy benefit manager (PBM) claims are processed incorrectly -- always in favor of the PBM. |
Managed Care July 2006 |
Headlines On Deadline... Initial bids are in and it appears that premium growth will be slowing... Certification guidelines for health care information technology are in the works... New technology doesn't come cheap... etc. |
The Motley Fool September 24, 2008 Brian Orelli |
Health Insurer Lets Outsiders Decide Aetna announces that it'll allow customers with individual health plans to ask for an independent external review before Aetna cancels their policy. |
The Motley Fool October 29, 2009 Brian Orelli |
WellPoint Sick for Another Year Good luck in 2011? |
The Motley Fool September 19, 2008 Brian Orelli |
Health Insurers Are Not AIG Health insurers get hammered this week. |
The Motley Fool April 25, 2007 Billy Fisher |
A Healthy Diet of Profits at WellPoint For the nation's largest health insurer, the waters aren't always going to be smooth for sailing. Investors, take note. |
Insurance & Technology December 6, 2007 Nathan Conz |
Aetna, CIGNA, Empire BlueCross Establish Standards With New York State AG The health insurers have reached an agreement with the New York State Attorney General on standards for physician-rating programs. |
The Motley Fool December 29, 2006 Billy Fisher |
2006 in Review: CIGNA A disappointing start didn't keep the health insurer down. CIGNA shareholders can hope for another strong year in 2007. |
Insurance & Technology February 7, 2004 Julie Gallagher |
Taking a New Look at HSAs Self-service tools support newly authorized health savings accounts |
Pharmaceutical Executive October 1, 2011 David Balekdjian |
In Establishing the Evidence Base, He Made Science Count Robert Seidman leveraged his role as the insurer group WellPoint's first Chief Pharmacy Officer to drive many important changes in the institutional relationship between Big Pharma and its now equally big customers. |
Pharmaceutical Executive February 1, 2014 Jill Wechsler |
Drug Coverage, Costs Under Scrutiny Benefits offered by insurance plans on health exchanges and through Medicare are raising concerns about patient access to needed therapies |
The Motley Fool June 28, 2007 Billy Fisher |
A Strong Start for Big Health Care A look at how four blue-chip insurers have fared in the first half of 2007. Aetna... CIGNA... UnitedHealth... WellPoint... |
The Motley Fool February 9, 2006 Stephen D. Simpson |
Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching. |
The Motley Fool November 19, 2010 Brian Orelli |
How to Get Rich Buying This Trend As the baby boomers get older, the number of medical procedures and drugs that the average American takes will increase. |
Managed Care March 2008 Martin Sipkoff |
PBMs' Rebate Income Threatened By Lawsuits and Move to Generics A recent court settlement may affect the way the PBM industry makes profits, but could it also lead to higher drug costs? |
The Motley Fool March 11, 2008 Brian Orelli |
WellPoint Is Not Well WellPoint lowers guidance on its earnings per share from 15% in 2008 to only 4% to 8%. |
The Motley Fool October 25, 2007 Billy Fisher |
WellPoint Well on Its Way Mega-cap health insurance company WellPoint posts a Q3 operating revenue increase of 5.2%; there was more good news regarding growth and buybacks. |
Managed Care August 2002 Madeleine A. Estabrook |
Regulators Take More Interest In Role of PBMs in Health Care In a highly regulated industry such as health care, it is just a matter of time before every component of the industry comes under scrutiny and review. Pharmacy benefit managers are taking center stage now. |
The Motley Fool July 26, 2007 Billy Fisher |
Is All Well at WellPoint? Shares of the mega-cap insurer falter despite solid earnings growth. |
Managed Care October 2003 |
Medco Health Solutions tops consumer survey The 2003 WilsonRx Survey reports that patients have identified Medco Health Solutions as the top pharmacy benefit manager for the third year in a row. |
Pharmaceutical Executive October 1, 2006 |
Sales and Marketing: Where the Buck Stops Pharma's ultimate customer is the employer - the guy who pays the health plan's bill. Here's what he wants to know about drugs. |
Managed Care November 2005 John Carroll |
FTC Report Arms PBMs In Battle With Drugstores Congress passed the Medicare Modernization Act allowing pharmacy benefits managers to participate in Medicare Part D. |
The Motley Fool September 15, 2008 Brian Orelli |
Are Health Insurers Losing Their Pricing Power? Health insurers have been hit particularly hard recently, as medical costs have risen considerably faster than insurers were expecting. |
Managed Care September 2005 Martin Sipkoff |
The Private Sector Can, Should, and Will Help Solve the Problem of the Uninsured WellPoint Chairman Leonard Schaeffer and other health plan leaders believe they can help with the chronic societal issue of uninsured Americans. |
BusinessWeek March 31, 2011 Peter Waldman |
Aetna's Rx for High Doctor Fees: Lawsuits Aetna's legal campaign against expensive out-of-network charges is just the latest attempt by insurers to restrain soaring health costs. |
The Motley Fool August 20, 2009 Brian Orelli |
The Health Reform Witch Hunt Congress warms up the tar and feathers for health-insurance execs. |
The Motley Fool January 15, 2009 Brian Orelli |
A Clean Bill of Health in 2009 UnitedHealth settles a few lawsuits to start the new year. |
The Motley Fool February 6, 2009 Brian Orelli |
Stocks Doubling? In This Market? Cigna, like other health insurers, lowered guidance for next year, but if it can hit the new targets it'll still be a wild improvement from last year. |
The Motley Fool March 7, 2008 Brian Orelli |
Insurers' Tarnished Reputations Shine Find out which ones rank lowest and why it doesn't matter. |
The Motley Fool August 5, 2008 Brian Orelli |
Humana Not Hurting ... as Much Humana's stock jumped because the company had guided for an even bigger drop in the bottom line than it posted. |
The Motley Fool October 3, 2007 Rich Smith |
Aetna's $1.25 Billion Buyback The health insurer Aetna splurges on its own shares; its board has authorized a $1.25 billion hike in its stock-repurchase authorization. |
The Motley Fool August 25, 2008 Brian Orelli |
Health Insurers Head to China Health insurers are seeking out untapped regions like China for the potential to fuel further expansion. |
Bank Systems & Technology May 1, 2006 Anthony O'Donnell |
H$As: Sharing Some insurers are seeking to offer an end-to-end HDHP/HSA solution by creating their own banks to serve as custodians of the accounts. The challenge for banks is to make health insurers offering HDHPs see the value of what banks can bring to the overall consumer-directed health experience. |
The Motley Fool March 18, 2008 Brian Orelli |
Is Health-Care Insurance Really Sick? Coventry Health Care becomes the latest insurance company to check itself into the sick ward. |
The Motley Fool January 29, 2009 Brian Orelli |
WellPoint Hits the Trifecta A triple combination of bad news sinks the insurer's earnings. |
Managed Care December 2003 Tony Berberabe |
Why Do FEHBP and Big Unions Excel at Managing Drug Costs? Pharmacy benefit managers can do only so much to keep drug price increases in the single digits. Initiatives instituted by health plans can help in this effort. |