New PBM contracting entities, often categorized as group purchasing organizations, add another obstacle to industry transparency
Synergie Medication Collective (Synergie) is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans
The largest specialty pharmacies are owned by organizations that are increasingly integrating their product and service offerings such as CVS Health, Cigna’s Express Scripts, UnitedHealth Group’s OptumRx, and Walgreens Boots Alliance/Prime Therapeutics
Ascent Health manages commercial rebates, the payments that drug makers make to health plans
GPO consolidation is increasing under the backdrop of Amazon’s possible role in the industry
Background on risk-sharing and insight into risk-sharing agreements from a payer’s and manufacturer’s perspective.
Outcome-Based Contracting Acceptance Grows in market with the concept of taking on financial risk on complex contracts as a result of market pressure combined with more familiarity. Outcome-based contracts between pharma companies and health insurers are becoming increasingly popular. In 2016, Novartis, Amgen, and Sanofi publicized risk-sharing, value-based, outcomes-based, or pay-for-performance deals, all of which vary […]
AetnaCare Boosted by Merck Collaboration: Aetna has announced AetnaCare℠, a new program designed to offer members an integrated care plan so they have the knowledge, motivation and confidence to manage their own health. Over 40% of Aetna’s medical spend currently runs through some form of value-based care model today and the company is developing programs like […]