Lindsay Bealor Greenleaf Quoted in Modern Healthcare On Anthem’s New PBM
“This is an interesting side effect of insurers that are dealing with PBMs that they say aren’t passing along the rebates to insurers and ultimately the consumers.”, Greenleaf said
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Anthem’s new PBM to spark change throughout the industry
By Alex Kacik
October 18, 2017
Anthem’s creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.
The national health insurer is teaming up with CVS Health to form IngenioRx, which will take shape in 2020 after Anthem’s long-disputed contract with Express Scripts ends. IngenioRx will offer the PBM’s services to customers of Anthem-affiliated health plans and members outside of the brand.
CVS Health will provide prescription fulfillment and claims processing services for the PBM, as spelled out in a five-year agreement. Anthem and CVS will be able to combine their medical and pharmacy businesses to cover more individuals, drive savings and better coordinate care while building other avenues to grow, executives said. The new PBM will net more than $4 billion in gross savings annually, most of which would translate to lower drug costs for consumers, Anthem said.
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