Potential Opportunities PBM consolidation: The trend towards vertical integration in healthcare (e.g., CVS’s acquisition of Aetna) may create opportunities. Technology and data analytics: Companies that can help improve transparency and efficiency in the drug pricing system may be well-positioned. Al...
most plans require that the primary care physician provide a referral before the appointment can be scheduled. This can be an issue, since the very nature of an HMO often creates a situation where the primary doctors are expected to keep ...
Last week the Florida legislature banned new prescriptions entirely and called on doctors to wean current patients from the drug within 30 days; it also put a 90-day limit on Redux prescriptions. Even New Jersey doctor Sheldon Levine, who touted Redux last year on TV and in his book The ...
Are your doctors included in the network? What’s the plan's Medicare star rating? What are the plan's deductibles, coinsurance and copays? What's the plan's out-of-pocket maximum? » MORE: What you'll pay for Medicare Shopping for Medicare Advantage plans? We have you covered. MEDIC...
If you’re in an HMO plan, you’re limited to doctors, health professionals, and hospitals within the network (unless you’re seeking emergency care on vacation, for example). Some plans offer an HMO point-of-service (HMO-POS) option that allows additional out-of-network flexibility in exc...