Category Archives: Health Insurance

Sutter Health Plus Changing PBM to CVS Caremark from Express Scripts

Sutter Health Plus is changing its PBM to CVS Caremark® from Express Scripts®. CVS Caremark will manage the pharmacy benefits for its approximately 100,000 members

Aetna Launches New Network to Cover New Gene Therapies for Rare Diseases

Aetna recently announced an initiative to launch a designated network to cover new gene therapies for rare diseases. This follows an initiative by CVS Health in 2019 to provide self-insured employers with a stop-loss program with Aetna health plans and cover gene therapies

Walmart Health Targets Self-Insured Employers with Transcarent Agreement

To grow its services Walmart Health is focused on the needs of the patient and customer by creating partnerships, most recently with Transcarent, a new and different health and care experience company putting people back in charge of their health and care experiences

GuideWell and Triple-S Management Plan to Combine

GuideWell and Triple-S Management Corporation, a leading health care services company in Puerto Rico, announced they will combine to transform the health care experience for their members in Florida and Puerto Rico

Large Insurers Implementing White Bagging Policies

Large insurers are implementing policies requiring health care providers to get provider-administered therapies from specialty pharmacies

Centene’s Restructuring Initiative Focuses on Behavioral Health and Pharmacy Growth

Centene’s recent acquisition of PANTHERx will play a major role in the company’s specialty pharmacy growth

Humana Joins Cigna’s Drug Buying Group Ascent Health Services

Ascent Health manages commercial rebates, the payments that drug makers make to health plans

Centene’s Agreement to Acquire Magellan Health Bolsters Medicaid Business

The transaction also adds 2 million PBM members and 16 million medical pharmacy members, enhancing the scale of Centene’s pharmacy platform with leading capabilities in specialty drug management