Tag Archives: aetna

CVS closes the Aetna Deal

From Bloomberg:

“(Bloomberg) – CVS Health has closed its $70 billion deal to buy health insurer Aetna, ending months of reviews by state and federal regulators.

The companies announced the takeover almost a year ago in December 2017, promising to create an integrated health-care company whose pharmacy locations could be hubs for medical services while better managing patients.”

 

It should be noted that this very complex merger has already resulted in the spinoff of the CVS Medicare Rx Program Silverscript.  It is unclear what other affects will follow.  –  Reeve

Labcorp added to Aetna Medicare

Aetna and LabCorp have signed an expanded agreement to make LabCorp a preferred national laboratory for all Aetna Medicare health plans, products and members beginning January 1, 2019.

This means our 2019 members will have in-network laboratory access to both Quest Diagnostics’ and LabCorp’s full range of services, as well as their broad patient access points, including a growing retail presence. Or, they can choose from one of the many other participating labs in our network.

Medicare And Prescription Changes

A lot is happening in the Rx Market this year.  In case you missed it, Aetna has been purchased by CVS health, which has been approved by the DOJ.  As part of this purchase, however, they have to sell Silverscript, the Medicare Rx Program.  This is set to happen around the first of the year, to WellCare.  In the meantime, Silverscripts prices have gone up and Aetna looks much more competitive, and we expect a lot of changes this year.

Walgreens bought Rite Aid and is in the process of consolidating stores and plans.  No word yet on what will happen to Rite Aids’ Envision Rx program, and Walgreens has maintained its deal with AARP.

It is important that Seniors check their prescriptions EVERY year, as this is the time of year when everything changes.  It is too late to change in January when you discover your medication is no longer covered!

 

 

Why Montefiore Health System leaving Aetna affects Rockland, Westchester patients

Montefiore Health System sites across the Lower Hudson Valley may soon be considered out-of-network for patients with the Aetna health plan.

The planned change would take effect Sept. 8. The Montefiore sites include White Plains Hospital, its hospitals in New Rochelle and Mount Vernon, as well as Nyack Hospital.

The Journal News/lohud obtained a letter sent to Aetna clients about Montefiore becoming out-of-network, which would increase what they pay for health care at the Montefiore sites.

 

Click here for the full story

Aetna to pass on Drug Discounts

Aetna Inc. will pass on the discounts it negotiates on prescription drugs to about 3 million of its members, the latest move by a health insurer to address Americans’ complaints about the cost of medicine.

The discounts, which can amount to more than half a drug’s list price, will be passed on at the pharmacy counter for many people starting next year, Aetna Chief Executive Officer Mark Bertolini said in a telephone interview. The move by the No. 3 U.S. health insurer follows a similar decision earlier this month by its larger peer, UnitedHealth Group Inc.

Over the last year, drugmakers, insurers and pharmacy benefit plans, or PBMs, have blamed one another for the cost of prescription drugs in the U.S. PBMs and insurers have said it’s the fault of the pharmaceutical companies that frequently raise their list prices. Drugmakers blame insurers and pharmacy benefit plans for high copays, and for not passing on to patients the discounts they negotiate. People with high deductibles or co-pays are often hurt the most.

“We want people to see the truth, and now they see it,” Bertolini said. “When drug prices keep going up, and drug costs keep going up, they’ll have one place to look.”

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Reeve Conover is a Registered Representative. Securities offered through Cambridge Investment Research, Inc., a Broker/dealer member FINRA/SPIC. Cambridge and Conover Consulting are not affiliated. Licensed in SC, NC, NY, CT, NJ, and CA.
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