Oct 9, 2020 | Managed Care Friday
2021: Cigna will offer telehealth services to all Medicare Advantage members next year, including virtual visits with behavioral health providers at no cost. They will also offer a $0 premium plan next year. Biosimilar or Different?: Regence Blue Cross in the northwest is implementing a new step therapy program for medications covered under Medicare Part B in 2021, like biosimilar Zirabev. What’s interesting is that Pfizer launched it earlier this year at a wholesale acquisition cost of around $60 for every 10 mg, which is nearly 25% less than its reference product Avastin, a Pfizer...
Oct 8, 2020 | Physician Fee Schedule, Physicians
Recent developments in ophthalmology and optometry reimbursement and legislation. Click to read more.
Oct 6, 2020 | Drugs, Legislation/ Budgets/ Macro
Recently, the Trump Administration has produced a flurry of drug policy-related announcements and executive orders. These have garnered headlines but are unlikely to result in substantive policy impacts in the near term – if ever. Click to read more.
Oct 2, 2020 | Managed Care Friday
$200M: The amount Blue Cross NC is giving out in health and wellness retail cards to fully insured members during October and November. The cards will be pre-loaded with between $100-500 and members will be able to use them to purchase anything over the counter. Blue Cross in Tennessee mailed rebate checks to 143,000 members in September because their health insurance costs were lower than originally anticipated. Members who purchased individual health insurance coverage through the Federally Facilitated Marketplace in 2019 qualify. Which Specialty? A new report by Doximity shows that...
