New prescription drug plans shun discounts to save money; Humana, Wellpoint try different systemTHERESA AGOVINO
plans; choose the amount of your deductible and your co-insurance level to determine the monthly premium that fits your budget. Then add "extras" to your plan - from supplemental accident benefits and dental benefits to prescription drug coverage and term life insurance - at an additional cost....
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The standalone Prescription Drug Plans membership is likely to grow, adding significantly to the Medicare business. Nevertheless, Humana is expected to suffer from rising benefit expenses, which will putpressure on margins. Continuing the trend of the past quarters, individual commercial membership is ...
Standard prescription drug plans will likely adjust the scope of the drugs they cover, known as the formulary, or increase premiums, or some combination of the two, executives said. The game theory comes in with the timing of when new rules might be adopted. Executives note the deadline for...
The company offers medical and supplemental benefit plans to individuals. It has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and...
The Centers for Medicare and Medicaid Services (CMS)have repeatedly explained that MA and Prescription Drug Plans (PDP) should enforce the MSP rules or face potential penalties. Therefore, it is becoming more important than ever for the industry to be aware of how these plans are finding out ...
Changes in the prescription drug industry pricing benchmarks may adversely affect Humana’s financial performance. Humana’s ability to obtain funds from certain of its licensed subsidiaries is restricted by state insurance regulations. Downgrades in Humana’s debt ratings, should they occur, may adv...
The payer created the plan to provide veterans with complementary coverage for healthcare and dental services received outside of VA clinics. The plan does not include prescription drug coverage, as many veterans receive coverage through their VA benefits, the payer noted. ...
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