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Healthcare news this week …

Anthem's new PBM to spark change throughout the industry

Anthem's new PBM to spark change throughout the industry

October 18, 2017

There has been heightened scrutiny over pharmacy benefit managers' role in drug pricing in recent years. Anthem's creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.

How Illinois hustled to protect Obamacare from Trump

How Illinois hustled to protect Obamacare from Trump

By Kristen Schorsch  |  October 18, 2017

Even before President Donald Trump announced plans last week to nix Obamacare subsidies, the Illinois Department of Insurance raced over the summer to get insurers on board with a strategy to minimize the financial pain of such a move.

AMA launches collaborative data project

AMA launches collaborative data project

October 18, 2017

The American Medical Association is throwing its hat into the data and interoperability game with the launch of the Integrated Health Model Initiative, which will develop a framework for the industry to collect, organize and share health data that complements the ONC's standards work.

Anthem launches PBM after falling-out with Express Scripts

Anthem launches PBM after falling-out with Express Scripts

October 18, 2017

Anthem is starting a pharmacy benefit manager in partnership with CVS Health after cutting ties with its longtime PBM, Express Scripts. Starting in 2020, when Anthem's Express Scripts contract ends, the new PBM will serve customers of Anthem-affiliated health plans and non-Anthem customers.

ACOs for specialty providers could be key to Medicare savings

ACOs for specialty providers could be key to Medicare savings

October 18, 2017

Although most value-based pay models focus on primary care services, providers and policy experts hope the recent financial success of accountable care organizations targeting dialysis patients will lead to more disease-specific pay models.

Highmark's Allegheny Health Network announces $1B expansion

Highmark's Allegheny Health Network announces $1B expansion

By Associated Press  |  October 18, 2017

Highmark Health will spend $1 billion to expand its Allegheny Health Network hospital chain, including a new 160-bed hospital in Pittsburgh's North Hills suburbs, four smaller neighborhood hospitals and renovations to existing hospitals.

News from other sources

By Modern Healthcare | October 18, 2017  |  October 18, 2017

Google Maps ditches calorie counting, drug companies knowingly make eye drops that are too big and bodies heal themselves.

Trump's drug czar nominee pulls name from consideration

Trump's drug czar nominee pulls name from consideration

October 17, 2017

Rep. Tom Marino will no longer be considered to lead the Office of National Drug Control Policy. His decision comes just days after news reports revealed he played a critical role in passing legislation that weakened federal authority to control opioid distribution.

Bipartisan deal to fund insurer payments faces tough political slog

Bipartisan deal to fund insurer payments faces tough political slog

October 17, 2017

Two key senators have reached a bipartisan agreement to extend funding for cost-sharing reduction payments to insurers for two years in exchange for greater state flexibility on insurance market rules. While the proposal has industry support, it's unclear whether it can clear Congress.

Mergers and acquisitions on track to best 2016's deals

Mergers and acquisitions on track to best 2016's deals

October 17, 2017

Health system and hospital consolidation in 2017 will likely outpace 2016's mark and continue at the same pace through next year as systems get more creative with their partnerships, experts said.

News from other sources

By Modern Healthcare  |  October 16, 2017

Microsoft blames North Korean for WannaCry cyberattack, states sue Trump over insurance subsidies, and the flu shot depends on herd immunity.


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