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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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
The Motley Fool
November 3, 2010
Brian Orelli
A Generic Prescription for Double-Digit Growth MedcoHealth Solutions has it. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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? mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
October 29, 2009
Brian Orelli
WellPoint Sick for Another Year Good luck in 2011? mark for My Articles similar articles
The Motley Fool
September 19, 2008
Brian Orelli
Health Insurers Are Not AIG Health insurers get hammered this week. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
Insurance & Technology
February 7, 2004
Julie Gallagher
Taking a New Look at HSAs Self-service tools support newly authorized health savings accounts mark for My Articles similar articles
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. mark for My Articles similar articles
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 mark for My Articles similar articles
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... mark for My Articles similar articles
The Motley Fool
February 9, 2006
Stephen D. Simpson
Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching. mark for My Articles similar articles
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. mark for My Articles similar articles
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? mark for My Articles similar articles
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%. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
July 26, 2007
Billy Fisher
Is All Well at WellPoint? Shares of the mega-cap insurer falter despite solid earnings growth. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
August 20, 2009
Brian Orelli
The Health Reform Witch Hunt Congress warms up the tar and feathers for health-insurance execs. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
March 7, 2008
Brian Orelli
Insurers' Tarnished Reputations Shine Find out which ones rank lowest and why it doesn't matter. mark for My Articles similar articles
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. mark for My Articles similar articles
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 $1.25 billion hike in its stock-repurchase authorization. mark for My Articles similar articles
The Motley Fool
August 25, 2008
Brian Orelli
Health Insurers Head to China Health insurers are seeking out untapped regions like China for the potential to fuel further expansion. mark for My Articles similar articles
Bank Systems & Technology
May 1, 2006
Anthony O'Donnell
H$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. mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
January 29, 2009
Brian Orelli
WellPoint Hits the Trifecta A triple combination of bad news sinks the insurer's earnings. mark for My Articles similar articles
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. mark for My Articles similar articles