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Ben H.

Ben H.

@abhcBen

Ask AI Clone

Talks about healthcare

Joined May 27, 2023

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Highlights
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Hatches
Posts

Six Reasons Drug Prices Are So High in the U.S.

www.nytimes.com/2024/01/17/health/us-drug-prices.html

Jan 17, 2024

1

Increasing Transparency In The 340B And Medicaid Drug Rebate Programs | Health Affairs Forefront

www.healthaffairs.org/content/forefront/increasing-transparency-340b-and-medicaid-drug-rebate-programs?utm_medium=social&utm_source=linkedin&utm_campaign=forefront&utm_content=digiorgio

healthcare
340B
medicaid

Jan 10, 2024

7

Elevance Health to Acquire Paragon Healthcare

www.elevancehealth.com/newsroom/elevance-health-to-acquire-paragon-healthcare

healthcare
Paragon
infusion
Elevance
Carelon

Jan 9, 2024

1

Elevance Health’s PBM Launches 24/7 Digital Pharmacy

www.forbes.com/sites/brucejapsen/2023/12/05/elevance-healths-pbm-launches-digital-pharmacy/?sh=50d625bb1e4a

healthcare
pharmacy
Elevance
Carelon

Jan 9, 2024

2

Amazon introduces new Health Condition Programs—here’s what you need to know and how to enroll

www.aboutamazon.com/news/retail/amazon-health-condition-programs

Jan 8, 2024

1

Cigna, HCSC in talks for Medicare Advantage deal: WSJ

www.modernhealthcare.com/mergers-acquisitions/cigna-hcsc-medicare-advantage-deal-david-cordani

healthcare
Cigna
HCSC
MA

Jan 8, 2024

2

JPM 2024 Day 1: Amazon, Omada Health launch partnership

www.modernhealthcare.com/finance/jpm-2024-live-updates-day-1

healthcare
Omada Health
Amazon

Jan 8, 2024

2

JPM 2024: What to expect from the San Francisco conference

www.modernhealthcare.com/finance/jpm-2024-conference-san-francisco

healthcare
JPM

Jan 8, 2024

3

The Best Companies for Future Leaders

time.com/collection/best-companies-for-future-leaders/

mckinsey

Dec 21, 2023

1

Mapping UnitedHealth’s consumption of our health care system – from the ‘70s to today

wendellpotter.substack.com/p/mapping-unitedhealths-consumption

healthcare
UnitedHealth
M&A

Dec 20, 2023

1

Recall or replace a sent email - Microsoft Support

support.microsoft.com/en-us/office/recall-or-replace-a-sent-email-8e564127-15a0-4cf6-b974-f2101f5e256e

Dec 19, 2023

2024 Healthcare Predictions, Out-Of-Pocket Style | Out-Of-Pocket

www.outofpocket.health/p/2024-healthcare-predictions-out-of-pocket-style

healthcare

Dec 14, 2023

7

Data Capture and Reporting in Specialty Pharmacy

www.pharmacytimes.com/view/data-capture-and-reporting-in-specialty-pharmacy

healthcare
specialty pharmacy
data fees

Dec 13, 2023

1

What CVS Pharmacy’s New Cost-Plus Reimbursement Approach Means for PBMs, Pharmacies, Plan Sponsors, and Prescription Prices

www.drugchannels.net/2023/12/what-cvs-pharmacys-new-cost-plus.html

Dec 11, 2023

14

Drug Wholesalers and Brand-Name Drug Prices: Understanding CVS Health/McKesson and Why Pharmacies Lose Money on GLP-1s

www.drugchannels.net/2023/12/drug-wholesalers-and-brand-name-drug.html

healthcare
CVS / Aetna
specialty pharmacy
pharmacy

Dec 11, 2023

4

2023 Annual Report

www.americashealthrankings.org/learn/reports/2023-annual-report?utm_source=execcomms&utm_medium=optum&utm_campaign=2023annual&utm_content=report

healthcare

Dec 7, 2023

1

WSJ News Exclusive | McKinsey Cuts New Partner Class by Roughly 35%

www.wsj.com/business/mckinsey-cuts-new-partner-class-by-roughly-35-8ed19c78?mod=hp_lead_pos3

mckinsey

Dec 6, 2023

2

The-Durability-of-The-Specialty-Pharmacy-MA-Market-Web-Version.pdf

mahealthcareadvisors.com/wp-content/uploads/2023/11/The-Durability-of-The-Specialty-Pharmacy-MA-Market-Web-Version.pdf

healthcare
pharmacy
specialty pharmacy
Walgreens

Dec 5, 2023

1

CVS Health rebrands healthcare services business as it plots long-term growth strategy

www.fiercehealthcare.com/providers/cvs-health-rebrands-healthcare-services-business-it-plots-long-term-growth-strategy?utm_medium=email&utm_source=nl&utm_campaign=HC-NL-FierceHealthcare&oly_enc_id=0017F7547889H3E

healthcare
CVS / Aetna

Dec 5, 2023

1

Cigna + Humana = Cigmana ? It's been reported that a merger is i

www.linkedin.com/posts/jared-strock-74233965_cigna-humana-merger-analysis-activity-7137787986938626048-ioxy/?utm_source=share&utm_medium=member_desktop

healthcare
payers
M&A
Cigna
Humana

Dec 5, 2023

1

UnitedHealth Group now employs or is affiliated with 10% of all physicians in the U.S.

www.statnews.com/2023/11/29/unitedhealth-doctors-workforce/

healthcare
UnitedHealth
payers
providers
Optum Health

Nov 29, 2023

2

WSJ News Exclusive | Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door

www.wsj.com/health/healthcare/foot-locker-teamsters-drop-pharmacy-benefit-managers-7251c81a?st=hfl7qiuithgl5vx&reflink=desktopwebshare_permalink

healthcare
pharmacy
PBMs
Navitus
Footlocker
OptumRx
CVS / Aetna

Nov 29, 2023

10

Drug Channels News Roundup, November 2023: My $0.02 on Express Scripts’ Cost-Based Pricing, Mark Cuban vs. PBMs, Dual-WAC Strategies, Pharmacy Shakeout, and Adam vs. Rocky

www.drugchannels.net/2023/11/drug-channels-news-roundup-november.html

healthcare
PBMs
pharmacy
MCCPDC
Express Scripts

Nov 28, 2023

6

Top 10 Healthcare Industry Predictions For 2024

www.forbes.com/sites/sachinjain/2023/11/28/top-10-healthcare-industry-predictions-for-2024/?sh=64dd09b66126

healthcare
Cigna
Humana
MA

Nov 28, 2023

1

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

2

Cigna + Humana = Cigmana ? It's been reported that a merger is i

URL
https://www.linkedin.com/posts/jared-strock-74233965_cigna-humana-merger-analysis-activity-7137787986938626048-ioxy/?utm_source=share&utm_medium=member_desktop
Tag
healthcare
payers
M&A
Cigna
Humana

Highlights & Notes

Cigna + Humana = Cigmana ?

It's been reported that a merger is in the works.

What do CI + HUM Q3 2023 financials look like together?

1/ Potential Merger

-It’s been reported that Cigna (“CI”) and Humana (“HUM”) are exploring a merger
-Let’s compare Q3 2023 results to understand the financial implications

2/ Insurance vs. Healthcare Services Segments

-Cigna generates most Revenue through Healthcare Services (75%)
-Humana generates most Revenue through Insurance (85%)

-Combined -> 53% Healthcare Services & 47% Insurance

Note: similar to UnitedHealth Group (“UNH”) -> 45% Healthcare Services and 55% Insurance

3/ Operating Profit / Loss

-Together CI + HUM would rival CVS and UnitedHealth Group in Revenues:

 -UNH -> $92.4 Billion (Q3 2023)
 -CVS -> $89.8 Billion (Q3 2023)
 -CI + HUM -> $75.5 Billion (Q3 2023)

-would have had similar Operating Profits to CVS, while still trailing UNH:

 -UNH -> $8.5 Billion (Q3 2023)
 -CVS -> $3.7 Billion (Q3 2023)
 -CI + HUM -> $3.4 Billion (Q3 2023)

4/ Membership

-Cigna insures and/or services a lot of Commercial business (~16 million)
-Humana has a large block of Medicare Advantage business (~5.9 million)
-Combined their block would rival