Though insurance regulators in Maine sought to put the state’s struggling community operated and oriented plan into receivership to curtail its mounting losses, the Centers for Medicare & Medicaid Services rejected that plan, the Portland Press Herald reports
The incoming CEO for Express Scripts wants to resolve a longstanding drug pricing dispute with its largest client that has morphed into a lawsuit, a confrontation that underscores the growing negotiating power for large insurers and questions Express Scripts’ independent business model.
As the controversy continues over Horizon Blue Cross Blue Shield of New Jersey’s Omnia health plans, some say it’s worth looking at other states to decide how to regulate tiered networks.
Anthem’s public spat with Express Scripts has escalated into a lawsuit against the pharmacy benefits management company charging it with failing to pass on prescription drug savings.
