Insurers adapt to ACA | Employers, insurers get 3 extra weeks to report enrollee totals | Calif. experiences higher-than-normal Medicaid churn
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November 18, 2014
PCMA SmartBrief
News for the PBM Industry

Featured Story
Insurers adapt to ACA
Health insurers and the Obama administration are often at odds, but they are also working in tandem to ensure the publicly run exchange works and to encourage the uninsured to enroll in a health plan. The New York Times (tiered subscription model) (11/18)
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Legislative & Regulatory News
Employers, insurers get 3 extra weeks to report enrollee totals
The Center for Consumer Information & Insurance Oversight has postponed the deadline for yearly submissions of insurance companies' and employers' enrollment totals for the Affordable Care Act reinsurance program. The due date is now Dec. 5. National Underwriter Life & Health (11/17)
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Calif. experiences higher-than-normal Medicaid churn
California enrolled more than 2.7 million residents in Medi-Cal, the state's Medicaid program, in 2014, but many enrollees have not submitted forms required to re-enroll next year. The percentage who do not re-enroll is usually 20% to 40%, but in some counties this year, the percentage is as high as 50%. A new renewal form may be to blame. Kaiser Health News (11/18)
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Refill reminders boost adherence in study participants
People who received reminder letters and interactive phone calls were more likely than those who did not to refill their blood-pressure and cholesterol drug prescriptions and had greater reductions in cholesterol levels, according to a study published in the American Journal of Managed Care. Drug Store News (11/17)
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Drug Industry Spotlight
Actavis agrees to pay $66B to purchase Allergan
Irvine, Calif.-based Allergan has agreed to be acquired by Actavis for about $66 billion, or $219 per share. The cash-and-stock deal, expected to be completed next year, will make Actavis one of the 10 largest global drugmakers. The Buffalo News (N.Y.)/Bloomberg (11/17), Fox Business/Dow Jones Newswires (11/17)
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When nothing seems to help, I go look at a stone-cutter hammering away at his rock perhaps a hundred times without as much as a crack showing in it. Yet at the hundred and first blow it will split in two, and I know it was not that blow that did it, but all that had gone before."
-- Jacob Riis,
Danish-American social reformer
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About PCMA
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 216 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.

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