Navigation Links
Two Industry Experts Discuss Pharmacy Benefit Design on Health Insurance Exchanges in Aug. 1 Webinar
Date:7/24/2013

Washington, DC (PRWEB) July 24, 2013

Pharmaceuticals are one of 10 essential health benefits that must be included in small-group and individual products sold on insurance exchanges. But as the Oct. 1 open enrollment date approaches, many insurers still have questions about how the pharmacy benefit will be structured and ultimately operate. Two leading industry experts will discuss the latest requirements and information related to the drug benefit on the exchanges in “Pharmacy Benefits and Exchanges: Balancing Access With Cost in the New Marketplaces,” the upcoming Aug. 1 webinar from Atlantic Information Services, Inc. (AIS).

In the final run-up to the start of enrollment in October, some industry observers say it’s still unclear whether plans will be able to modify their formularies once the lists have been established. By contrast, insurers operating outside of the exchanges have long been able to change formularies during a plan year. Further complicating the picture is the ACA rule that requires all plans on the exchanges to match the level of benefits offered by a “benchmark” plan in a state. For the drug benefit, this could result in significant state-to-state variation in what minimum coverage will look like.

John Jones, senior vice president of professional practice and pharmacy policy at OptumRx, and Caroline Pearson, a vice president at Avalere Health LLC, in addition to discussing the latest information, will explain how to create attractive products that offer ample drug coverage in exchanges while keeping costs down. Participants in the Aug. 1 webinar will learn:

  • How much flexibility can state-selected benchmark plans provide insurers when it comes to designing drug benefits?
  • Will the drug coverage requirements allow for aggressive price negotiation between drug manufacturers and insurers and/or the PBMs that negotiate on their behalf?
  • What pharmacy benefit requirements must health plans take into account as they design essential health benefits packages for state-operated and federally facilitated exchanges in 2014?
  • What are some of the ways insurers can use prescription drug benefits to differentiate their products for 2014? How can they avoid adverse selection?
  • Will plans that are required to have open formularies face a tougher time managing drug costs, and what kinds of management tools will they be able to implement?

Visit http://aishealth.com/marketplace/c3p37_080113 for more details and registration information.

About AIS
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com.

Contact
Shelly Beaird-Francois
Atlantic Information Services, Inc.
202-775-9008 ext. 3064
sbeaird-francois(at)aishealth(dot)com

Read the full story at http://www.prweb.com/releases/2013/7/prweb10952702.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. MSU invention could help pharmaceutical industry save money
2. More cutting-edge cancer research supported by industry
3. Ultra-short laser pulses for science and industry
4. Beef & Pork Wholesaling in the US Industry Market Research Report Now Available from IBISWorld
5. Pharmica Consulting to Hold HIT Conference for the Pharmaceutical Industry
6. Advertising Industry Veteran Pat McCrossan Joins Mangos
7. Trivedi Beef, LLC Announces Breakthrough Beef Industry Data without the use of Antibiotic Drugs, Hormones or Steroids
8. QTrade's New Facility Anticipates Dramatic Growth of Tea Industry
9. A Void In The Independent Pharmacy Industry Leads to Independent Rx Consulting, Powered by OurHelix
10. Massage Industry Heavyweights Team Up for First-Ever Massage Documentary
11. Butter flavoring in microwave popcorn, thought safe for food industry workers, is respiratory hazard
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/20/2017)... ... 20, 2017 , ... AMC Health , the leading provider of proven ... trials market. Similar to its approach in demonstrating positive outcomes in the healthcare market, ... proving the value of eVisits to support virtual studies. , In a ...
(Date:6/20/2017)... ... June 20, 2017 , ... With certifications and experience that puts ... NJ, Drs. Adam and Hal Kimowitz are currently accepting new patients at their practice ... can cause for some patients, which is why they offer the latest in modern ...
(Date:6/20/2017)... ... June 20, 2017 , ... Uniform Advantage (UA), a multi-channel retailer ... designed to create tailored looks and athleisure-inspired outfits. UA Flex fabric is breathable, wrinkle ... twill. , With trendy looks hitting the medical community, UA Flex is for the ...
(Date:6/20/2017)... ... 20, 2017 , ... MEDI+SIGN, a healthcare technology company that ... Stanowski, DHA, FACHE to the MEDI+SIGN Advisory Board. , “We are eager ... provide invaluable direction for the company,” says Andrew Hoffman, President of MEDI+SIGN. ...
(Date:6/19/2017)... ... June 19, 2017 , ... The joyful summer wedding ... to be a humdinger. A warm winter and wet spring have created ideal conditions ... one wants to be swatting away pesky mosquitoes when a bride and groom are ...
Breaking Medicine News(10 mins):
(Date:6/8/2017)... June 8, 2017   Responding to Heath Ledger,s ... the death of singer Chris Cornell in May, ... International offers a free online psychiatric drug ... and families about psychotropic drug risks. The ... died from an accidental overdose, has called for tighter rules ...
(Date:6/7/2017)... Md. , June 7, 2017  Novavax, Inc., (Nasdaq: ... second of two Phase 2 trials of its RSV F ... of child bearing age have been published in the journal ... publication have been shared in prior scientific conferences). The Company ... in April 2014. Novavax is developing the RSV F Vaccine ...
(Date:6/5/2017)... , June 5, 2017 Kohll,s Pharmacy & Homecare is ... the United States . The Raizer is a ... fallen person up to an almost-standing position within ... operated by one assistant and does not require ... enough that a child can operate it, and ...
Breaking Medicine Technology: