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Ben H.

Ben H.

@abhcBen

Ask AI Clone

Talks about healthcare

Joined May 27, 2023

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Highlights
Favorite
Kindle
Video
Bookmarks
Hatches
Posts

Let’s Talk About Obesity Drugs | Out-Of-Pocket

www.outofpocket.health/p/lets-talk-about-obesity-drugs

healthcare
Zepbound
pharmacy
PBMs
pharma
Ozempic
Wegovy
Rybelsus
GLP-1

Nov 28, 2023

10

Opinion | Elizabeth Warren Has an ObamaCare Epiphany

www.wsj.com/articles/obamacare-medical-loss-ratio-elizabeth-warren-mike-braun-letter-healthcare-pbm-af77e284?st=353wj51rzfr2sy5&reflink=desktopwebshare_permalink

healthcare
PBMs
specialty pharmacy

Nov 27, 2023

3

Trends in Proportion of Medicare Part D Claims Subject to 340B Discounts, 2013-2020

jamanetwork.com/journals/jama-health-forum/fullarticle/2811898?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamanetworkopen&utm_content=wklyforyou&utm_term=111723?adv=

healthcare
pharmacy
340B

Nov 20, 2023

Two key findings in this new paper about 340B contract pharmacy:

www.linkedin.com/posts/deborah-williams-62003010_trends-in-proportion-of-medicare-part-d-claims-activity-7132447472550887424-pxyU/?utm_source=share&utm_medium=member_desktop

healthcare
pharmacy
340B

Nov 20, 2023

2

Details emerge of surprise board coup that ousted CEO Sam Altman at OpenAI

arstechnica.com/information-technology/2023/11/report-sutskever-led-board-coup-at-openai-that-ousted-altman-over-ai-safety-concerns/

OpenAI
genai

Nov 18, 2023

8

These Are The People That Fired OpenAI CEO Sam Altman

www.forbes.com/sites/alexkonrad/2023/11/17/these-are-the-people-that-fired-openai-ceo-sam-altman/?sh=182553014ae9

Nov 18, 2023

8

Sam Altman Is Out at OpenAI; Mira Murati Will Be Interim CEO

www.wsj.com/tech/sam-altman-departs-open-ai-mira-murati-interim-ceo-41f6d51e?mod=hp_lead_pos1

OpenAI
genai

Nov 18, 2023

6

Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence | The White House

www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/

policy
genai

Nov 17, 2023

12

OpenAI announces leadership transition

openai.com/blog/openai-announces-leadership-transition

genai
OpenAI

Nov 17, 2023

6

Figure 6: Pharmaceutical Manufacturers' Off-Invoice Discounts, Rebates, and Price Concessions, 2008-2022 • The Aspen Institute Economic Strategy Group

www.economicstrategygroup.org/publication/figure-6-pharmaceutical-manufacturers-off-invoice-discounts-rebates-and-price-concessions-2008-2022/

healthcare
pharma
rebates

Nov 17, 2023

1

Figure 2: Share of Federal Outlays by Category, 2019 • The Aspen Institute Economic Strategy Group

www.economicstrategygroup.org/publication/figure-2-share-of-federal-outlays-by-category-2019/

policy
federal spending

Nov 17, 2023

1

58% of all Employer Health Plans in the U.S. are Self-Funded. 42%

www.linkedin.com/posts/seanglavin_58-of-all-employer-health-plans-in-the-us-activity-7131278050343694340-EFRm/?utm_source=share&utm_medium=member_desktop

healthcare
payers

Nov 17, 2023

1

Cigna Follows Mark Cuban’s Lead to Make Drug Prices Simpler

www.bloomberg.com/news/articles/2023-11-14/cigna-ci-follows-mark-cuban-s-lead-to-make-drug-prices-simpler?accessToken=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJzb3VyY2UiOiJTdWJzY3JpYmVyR2lmdGVkQXJ0aWNsZSIsImlhdCI6MTY5OTk3NDIwNSwiZXhwIjoxNzAwNTc5MDA1LCJhcnRpY2xlSWQiOiJTNDMxTUJUMEcxS1cwMSIsImJjb25uZWN0SWQiOiJCMUJDOTdEOTQ3MTg0OUExQkQ4MjIyN0MwMzJCRDQ4MiJ9.EedOqh_2JmkQl-PO8ULMlg6-GMCec6042tZ4uHRu6nE&sref=d76K8I5l

healthcare
Cigna
Express Scripts
PBMs
pharmacy
MCCPDC

Nov 14, 2023

9

Green Card Backlog Costs Economy Trillions in Gains, Report Says

news.bloomberglaw.com/daily-labor-report/green-card-backlog-costs-economy-trillions-in-gains-report-says

policy
law
immigration

Nov 14, 2023

7

CVS’ Karen Lynch has plans for Oak Street Health, AI

www.modernhealthcare.com/finance/cvs-health-ceo-karen-lynch-ai-oak-street-health-investments

healthcare
CVS / Aetna
Oak Street Health
genai

Nov 13, 2023

5

Third Circuit Ruling Allows Restrictions on 340B Contract Pharmacies

www.bassberry.com/news/third-circuit-ruling-allows-restrictions-on-340b-contract-pharmacies/

healthcare
340B
pharmacy
pharma

Nov 9, 2023

2

Court Guts 340B Program “Patient” Definition, Opening Door to More 340B Use

www.bassberry.com/news/court-guts-340b-program-patient-definition-opening-door-to-more-340b-use/

healthcare
340B
pharmacy
pharma

Nov 9, 2023

2

Access Hub | IPD Analytics

www.ipdanalytics.com/access-hub

healthcare
pharmacy
specialty pharmacy
LDDs

Nov 7, 2023

1

Vertical Integration Lessons: The Economics and Strategies of Hospital-Owned Specialty Pharmacies

www.drugchannels.net/2023/11/vertical-integration-lessons-economics.html

healthcare
340B
specialty pharmacy
providers
HSSP

Nov 7, 2023

5

Cigna (CI) - a Carrier with a large Medicare presence - reported

www.linkedin.com/posts/jared-strock-74233965_cigna-ci-a-carrier-with-a-large-medicare-activity-7127284801333587969-jw9y/?utm_source=share&utm_medium=member_desktop

healthcare
Cigna

Nov 6, 2023

2

BioPlus Specialty Pharmacy: Enriching Lives Through Fast & Easy Access to Specialty Medications

insightscare.com/bioplus-specialty-pharmacy-enriching-lives-through-fast-easy-access-to-specialty-medications/

healthcare
pharmacy
BioPlus

Nov 5, 2023

1

Pitchbook says private equity investments are shifting. Here's how.

www.modernhealthcare.com/finance/pitchbook-private-equity-value-based-care-specialized-care

healthcare
vc/pe
Ozempic
Wegovy
GLP-1

Nov 4, 2023

5

Hospitals due $9B under 340B final rule

www.modernhealthcare.com/policy/340b-drug-discount-program-remedy-final-rule

healthcare
340B
CMS
providers

Nov 4, 2023

5

Mark Cuban-backed study finds price discrepancies in hospital services

www.modernhealthcare.com/finance/mark-cuban-jama-study-hospital-price-variations

Nov 4, 2023

7

WSJ News Exclusive | Generic Drugs Should Be Cheap, but Insurers Are Charging Thousands of Dollars for Them

www.wsj.com/health/healthcare/generic-drugs-should-be-cheap-but-insurers-are-charging-thousands-of-dollars-for-them-ef13d055?st=xibq7eszmukejpd&reflink=desktopwebshare_permalink

Nov 4, 2023

10

Medicaid Enrollment and Unwinding Tracker | KFF

www.kff.org/medicaid/issue-brief/medicaid-enrollment-and-unwinding-tracker/

healthcare
medicaid
medicaid redeterminations

Oct 31, 2023

1

Medicaid Spending per Enrollee (Full or Partial Benefit) | KFF

www.kff.org/medicaid/state-indicator/medicaid-spending-per-enrollee/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

healthcare
medicaid
medicaid PMPM

Oct 31, 2023

1

How the Pandemic Continues to Shape Medicaid Priorities: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2022 and 2023 - Pharmacy - 10030 | KFF

www.kff.org/report-section/medicaid-budget-survey-for-state-fiscal-years-2022-and-2023-pharmacy/

healthcare
pharmacy
medicaid
Medicaid Rx carveout

Oct 31, 2023

1

Providers and Health Plans Connect to Fast Track Prior Authorization, Claims, and Quality Reporting | Epic

www.epic.com/epic/post/providers-and-health-plans-connect-to-fast-track-prior-authorization-claims-and-quality-reporting/

healthcare
Epic Payer Platform
Epic

Oct 30, 2023

1

Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors

www.usatoday.com/story/news/investigations/2023/10/26/pharmacy-chains-dangerous-conditions-medication-errors/71153960007/

healthcare
pharmacy
policy

Oct 29, 2023

3

PerformSpecialty - PerformRx

www.performrx.com/how-we-help/specialty-pharmacy/perform-specialty.aspx

healthcare
specialty pharmacy
PerformRx
PerformSpecialty

Oct 27, 2023

1

Medicaid - PerformRx

www.performrx.com/who-we-help/medicaid.aspx

healthcare
PBMs
PerformRx
AmeriHealth Caritas

Oct 27, 2023

1

Our National Footprint | AmeriHealth Caritas

www.amerihealthcaritas.com/our-story/our-national-footprint.aspx

healthcare
payer
AmeriHealth Caritas

Oct 27, 2023

1

Blue Cross Blue Shield of Michigan Fast Facts | BCBSM

www.bcbsm.com/about-us/our-company/fast-facts/

healthcare
payer
BCBSMI

Oct 27, 2023

1

2022 BCC Fact Sheet - bcc-fact-sheet.pdf

www.mibluecrosscomplete.com/amslibs/content/dam/microsites/blue-cross-complete/bcc-fact-sheet.pdf

healthcare
BCBSMI
Blue Cross Complete
Medicaid

Oct 27, 2023

1

Affiliates | About us | Independence Blue Cross (IBX)

www.ibx.com/about-us/affiliates

healthcare
IBX
AmeriHealth Caritas

Oct 27, 2023

2

Independence Health Group reports strong membership and revenue in 2022

news.ibx.com/independence-health-group-2022-financial-results/

healthcare
payers
IBX

Oct 27, 2023

1

Easing the Load: The Heavy Burden of Financial Toxicity on Cancer Patients

blog.thymecare.com/financial-toxicity-cancer-patients

healthcare
CMMI
Oncology
EOM

Oct 26, 2023

4

The Future of Value-Based Oncology Care: an Interview with Thyme Care -

workweek.com/2023/10/26/future-of-value-based-oncology-care-thyme-care/

healthcare
CMMI
EOM
Oncology

Oct 26, 2023

5

0

Cigna (CI) - a Carrier with a large Medicare presence - reported

URL
https://www.linkedin.com/posts/jared-strock-74233965_cigna-ci-a-carrier-with-a-large-medicare-activity-7127284801333587969-jw9y/?utm_source=share&utm_medium=member_desktop
Tag
healthcare
Cigna

Highlights & Notes

Cigna (CI) - a Carrier with a large Medicare presence - reported Q3 2023 results recently.

1/ Medicare Advantage Members

-Grew from 541,000 to 599,000 - year-over-year
-Up 11%

2/ Medicare Supplement & Medicaid Members

-Decreased from 487,000 to 468,000 - year-over-year
-Down 4%

-Cigna reports Medicare Supplement and Medicaid together. Based on NAIC numbers, the majority of this is Medicare Supplement

3/ Total Revenues

-Grew from $45.3 billion to $49.0 billion - year-over-year
-up 8%

Note: the majority of their revenues comes from their Pharmacy Segment

4/ Total Operating Profit

-Grew from $2.14 billion to $2.24 billion - year-over-year
-up 5%

-Profit margin of 4.6% compared to 4.7% last year

5/ Healthcare Segment Revenues

-Grew from $11.1 billion to $12.7 billion - year-over-year
-Up 15%

6/ Healthcare Segment Loss Ratio

-decreased from 80.8% to 80.5% - year-over-year

(loss ratio = medical costs / premium revenue)

7/ Healthcare Segment Expenses

-decreased from 22.1% to 21.7% of revenue - year-over-year
-includes Selling, general and administrative expenses

8/ Healthcare Segment Operating Profit

-Grew from $950 million to $1.02 billion - year-over-year
-up 7%

-Profit margin of 8.0% compared to 8.4% last year

9/ Valuation Metrics

-Market Cap: $90.9 B