Welcome to AIS Health

From Radar on Specialty Pharmacy - In 2016, commercial per-member pre-month (PMPM) medical benefit pharmacy trend underwent the largest jump in five years, according to Magellan Rx Management’s Medical Pharmacy Trend Report. “Commercial PMPM trend was seven percentage points higher — 21%, a 62% difference — than the 13% average annual trend of the last five years,” said Casandra Stockman, Pharm.D., vice president of medical pharmacy strategy. Increases in drug prices were the largest contributing factor driving the rapid growth. Among the top 20 commercial categories, eight more than doubled in spend from 2012 to 2016. Read more

From Health Plan Weekly - A coalition of 17 Democratic state attorneys general, led by the AGs in New York and Massachusetts, expressed their concerns about the Dept. of Labor’s draft rule to expand the use of so-called Association Health Plans (AHPs) in a 22-page comment. Read more

From Health Plan Weekly - Iowa’s state lawmakers recently advanced a bill that would allow the Iowa Farm Bureau Federation (IFBF) to offer non-ACA-compliant health coverage administered by Wellmark Blue Cross and Blue Shield of Iowa. “It’s one more state trying to provide options other than an ACA compliant plan to their constituents,” says attorney Christopher Condeluci, a former Republican staffer for the Senate Finance Committee during the ACA’s drafting. Read more

From Radar on Medicare Advantage - Since last year, L.A. Care Health Plan has partnered with the California Long-Term Care Education Center (CLTCEC) to provide training and education to In-Home Supportive Services (IHSS) caregivers of its Cal MediConnect dual-eligible enrollees. “We recognize that quality health care doesn’t happen only in a doctor’s office, clinic or hospital. It happens at home, too, and we want to support that care as well,” L.A. Care CEO John Baackes told AIS… Read more

From Radar on Drug Benefits - Arkansas’s House and Senate approved a proposal to regulate pharmacy benefit managers and require PBMs to be licensed by the state’s Dept. of Insurance. Gov. Asa Hutchinson (R) is expected to sign the bill, according to news reports. The debate was spurred by changes that CVS Health Corp.’s Caremark unit made in January to drug reimbursement rates paid to independent pharmacists. The bill would allow state regulators to supervise PBMs’ networks to… Read more

It's quick and easy to sign up for FREE access to AISHealth.com!

Why do I need to register?

Resources for Paid Subscribers
Not a Paid Subscriber?

Check out all of the benefits, sample issues & more!