Managed Care Friday

25: The number of retail pharmacies health system Intermountain is closing, citing declining business and a new deal with CVS Health. Intermountain will keep its pharmacy at Primary Children’s Hospital in Salt Lake City open as a home delivery, retail, and specialty pharmacy. All others will transfer inventory and patient files over to CVS by August. Spartan Care: Michigan State University Health Care is partnering with Everside Health, a direct primary care provider, to provide employer-sponsored health plans with access to direct and virtual primary care across the state. Employers who...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AZ: State published new fee schedules effective October 1, 2021 NC: State submits spending plan for enhanced federal HCBS funding PA: Medicaid agency publishes guidance for OTPs Click to read more.

Contracts More Portable Under Value-Based Arrangements, BRG Study Finds

In a poll of 52 health plan network contracting sources from the top 30 U.S. plans, BRG’s managed care team found that the likelihood of getting the same contract when acquiring a practice in a different city is difficult if the markets are unique but increases if the acquiring practice is in a value-based arrangement. Likelihood also varies based on factors related to individual physician specialties. Click to read more.

Managed Care Friday

42: Percent of kids going off to college in August, according to a poll of my son’s 1,700 Instagram followers—up from 30% recently—who say they are bringing the following to college: a 10-pack of blue iPhone chargers, an old “beat up locker passed down from generations,” and the phone number and text for a mental health therapist. Here’s to something borrowed, something blue, and something new. Insulin? Aisle 12: Walmart is launching its own brand of insulin, a less expensive version of Novo Nordisk’s analog insulin product, Novolog. The insulin will be under Walmart’s private label and will...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: 2.5% rate increase for certain providers IL: Gov. Pritzker signs legislation expanding Medicaid covered services and access LA: State issues new RFP for Medicaid MCO contracts MI: State expands office-based SUD treatment reimbursement policies Click to read more.