Category Archives: Payers

3 Success tips for Life Science Commercial teams: Market Access, Part 2

  Address Payer Concerns, Cost and Efficacy in Advance  Considering the pressure to demonstrate effective patient outcomes at low cost, payers consider cost and efficacy when making decisions about which therapeutic interventions to add to their formulary. In addition to results from clinical trials, market

3 Success tips for Life Science R&D teams: Market Access, Part 1

Show value from harmonized product development data  Using harmonized data from clinical trials and other relevant data sources, R&D teams can define patient populations that respond best to the product, aiding commercial prospects. Data insights derived during product development can influence commercial strategy such as

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$240B revenues for United Health in 2019

UnitedHealth Group said revenues will hit between $243 billion and $245 billion in 2019. Year-to-date, profits are up 29 percent to $8.9 billion when compared to the first nine months of 2017. Excerpt pulled from the this Becker Hospital Review article. That’s the magnitude of the health

Walmart and Humana, a merger or joint venture?

According to a WSJ article, the two companies are in talks on a merger. What a lot of people don’t realize is that both companies already have a relationship. According to the NY Times, since 2010, they have sold a co-branded prescription drug benefit (PDP)

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CVS Health and Aetna

We have all heard the news by now of the Aetna and CVS Health $69B merger. What remains to be seen is the disruptive element. It’s business as usual. Or perhaps – economy of scale? There was already a tie up as far back as 8 years

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Cigna and Express Scripts

It is no longer a secret that these two firms are merging. Considering that their main competitors already have pharmacy benefit managers (PBM)-  United – Optum Rx, Humana (it’s own PBM), and Aetna (CVS Caremark), it makes sense. According to Fierce Pharma, the industry continue

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Medicare Advantage Startup Clover Health posts $22M loss

Digital health company, Clover which offers insurance to seniors in New Jersey, and now to parts of Georgia, Pennsylvania and Texas posted a $22M loss in 2017. The company serving the lucrative and stable Medicare Advantage market made revenue of $267M that year according to