Producer World is now your path for individual quotes with a single sign-on. The popular network pharmacy profit design permits members to receive free Tier 1 formulary prescriptions (most generics and choose branded drugs) when crammed at any Walgreens, Walmart, or Goal pharmacy earlier than reaching the protection hole or donut gap.” As a result, First Well being Worth Plus will probably provide a whole lot of dollars in annual financial savings to Medicare beneficiaries and be a competitive different versus the bottom premium stand-alone Part D plan that includes a deductible.
In recent weeks, merger and acquisition fever has gripped the health insurance business, with speak of Humana—once a small regional provider that morphed right into a Medicare Advantage powerhouse—merging with Aetna, a company that has grown by shopping for up smaller fish akin to U.S. Healthcare and more just lately Coventry Well being Care.
However the Journal’s piece went farther by analyzing federal databases to point out with actual numbers what might occur in particular states and concluded the big health insurers pursuing these megamergers have market overlaps that could damp competitors” in Medicare Benefit plans, as well as policies sold on state exchanges and for insurance policies employees get from their employers.
It was hardly a momentous event, I wrote, noting it was one more hyperlink in a chain of dots about an insurance coverage company that, if connected, added up to a a lot bigger story about healthcare costs and insurance coverage premiums.” Earlier this yr the group’s CEO, Robert Glazer, informed me that whoever controls the patient population has the upper hand in the battle between insurers and suppliers.
A spokesman for America’s Health Insurance Plans, the carriers’ commerce group, informed the Journal that mergers don’t drive larger premiums, because insurers are within the enterprise of guaranteeing customers get the very best value for their health-care dollars.” Sounds nice, however I appear to remember hearing one thing about how competition helps consumers get an excellent deal.