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  #21  
Old 10-27-2017, 01:46 PM
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I guess Aetna is in selling mode.
Didn't they sell a chunk of their US business to the Hartford like 1 week ago?
Disability. But it was never a big piece of their business or one they were particularly successful in. Just a "hey, let's try disability" thing.
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  #22  
Old 10-27-2017, 04:12 PM
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I don't really get the value. I mean, I know it can help the insurance side if you have a provider arm that can do things like push up risk scores and reduce ER admissions. . .

But insurance companies have tried that kind of thing on many occasions, some very recent. Maybe this will be different because CVS is not a typical provider?

How does it help the mail order company to own the insurer? They win every negotiation, and then the company loses out on the other side?

Is there some non-corporate speak that justifies this?
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  #23  
Old 10-27-2017, 04:27 PM
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Great opportunity for health actuaries to cross into pharma industry, imo
psst, we're already here.
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  #24  
Old 10-27-2017, 05:23 PM
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psst, we're already here.
been there done that
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  #25  
Old 10-29-2017, 12:06 PM
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https://ca.reuters.com/article/busin...BN1CY0EI-OCABS

I was bemused by the reference to reducing drug prices by "cutting out the middleman." If they do that, wouldn't it reduce somebody's profits? Namely CVS retailers?
I sure don't get it.

Oh, and note also at the link that they are doing this on account of Amazon.com.
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  #26  
Old 10-29-2017, 01:58 PM
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https://ca.reuters.com/article/busin...BN1CY0EI-OCABS

I was bemused by the reference to reducing drug prices by "cutting out the middleman." If they do that, wouldn't it reduce somebody's profits? Namely CVS retailers?
I sure don't get it.

Oh, and note also at the link that they are doing this on account of Amazon.com.
If CVS believes the Amazon thing is real, they may be looking at it simply from the perspective of two worse case scenarios. They do nothing and Amazon enters the market, insurers may be drawn from them and towards Amazon for drug needs, or CVS chooses to be proactive, recognizing they will lose a little off the top but gain a sure base of customers through Aetna. If the whole Amazon thing is realized, the major drug retailers may be looking at losses either way they slice it.

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Old 10-30-2017, 12:22 PM
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Keep in mind PBM is a numbers game. You need to have volume to have the best discounts. Also, a huge amount of profit is derived from selling data and the analytics derived from it. Where Amazon might have the upper hand is in operations... running a mail order pharmacy (more of an affront to ESI than CVS, as CVS owns retail sites) is a massive, complex undertaking.
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  #28  
Old 10-30-2017, 12:25 PM
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Also, I believe Aetna already uses CVS for its insured business. Coventry I think was using ESI when they got bought. Aetna still performs any sort of analytics related to the pharmacy.
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Old 12-03-2017, 04:27 PM
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Old 12-03-2017, 05:45 PM
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so question-how can all the health insurers that currently use CVS as PBM move foward? Seems there may be some conflict with this? It must impact the current relations
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