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  • Insights Newsletter

    Always Be a Step Ahead

    Learn the important healthcare trends that could affect you in advance. Get expert analysis and discover the innovative ideas that are helping businesses overcome today's challenges.

    Subscribe to AMI's Insights Newsletter Today.

     

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Tag Archives: commercial member

Medicare, Pharmacy, Pharmacy Benefit Managers

Kroger Contracts with Prime Therapeutics, Replacing Express Scripts

Posted on January 4, 2023 by John Santilli
04
Jan

As a result of a dispute with Express Scripts, Kroger and Prime Therapeutics announced a direct agreement for the Kroger Family of Pharmacies to remain in-network

Continue reading →
Posted in Medicare, Pharmacy, Pharmacy Benefit Managers  |  Tagged Cigna, commercial member, Express Scripts, Kroger, Kroger Health, Medicare, Medicare Part D, PBM, pharmacy, pharmacy benefit manager, pharmacy provider, Prescription, pricing, Prime Therapeutics
Clinical Collaborations, Health Insurance, Pharmaceutical, Specialty Drug

Highmark’s Strategy to Contain Drug Costs Includes an Increasing Number of Outcome-Based Contracts

Posted on August 20, 2020 by John Santilli
20
Aug

Pharmaceutical manufacturers and payers have developed a number of agreements under which reimbursement is contingent on specific outcomes over the last few years

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Posted in Clinical Collaborations, Health Insurance, Pharmaceutical, Specialty Drug  |  Tagged agreement, AstraZeneca, autoimmuneinflammatory, Blue Cross, Blue Shield, Boehringer Ingelheim, Cimzia, commercial member, contract, COPD, Crohn's, diabetes, Highmark, outcomes-based, performace-based, psoriasis, rheumatoid arthritis, risk sharing, Takeda, UCB, value-based

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