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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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Posts

For Medicare Advantage Plans, Trust and Problem Resolution Closely Associated with Likelihood to Renew, J.D. Power Finds

www.businesswire.com/news/home/20230822166645/en/For-Medicare-Advantage-Plans-Trust-and-Problem-Resolution-Closely-Associated-with-Likelihood-to-Renew-J.D.-Power-Finds

healthcare
medicare
payers

Aug 22, 2023

1

A Reality Check on That Blue Shield of California Announcement

www.drugchannels.net/2023/08/a-reality-check-on-that-blue-shield-of.html

healthcare
pharmacy
pharma
PBMs
to watch
Blue Shield California

Aug 22, 2023

6

WSJ News Exclusive | A Big Health Insurer Is Ripping Up the Playbook on Drug Pricing

www.wsj.com/health/healthcare/a-big-health-insurer-is-ripping-up-the-playbook-on-drug-pricing-ec152227?st=2jibjuyve8sv7cd&reflink=desktopwebshare_permalink

healthcare
policy
pharmacy
to watch

Aug 22, 2023

9

5 takeaways from health systems' Q2 earnings reports

www.modernhealthcare.com/finance/hca-healthcare-kaiser-permanente-chs-mayo-q2-earnings-reports

healthcare
finances
markets

Aug 21, 2023

9

The Economic Losers in the New World Order

www.wsj.com/articles/global-economy-economic-losers-fba30b53?mod=hp_lead_pos1

Geopolitics
economics

Aug 21, 2023

8

Surprising Data on Employer-PBM Rebate Pass-Through Arrangements in 2023

www.drugchannels.net/2023/08/surprising-data-on-employer-pbm-rebate.html

healthcare
pharma
PBMs
policy

Aug 21, 2023

4

The Healthcare Breakdown No. 022 - Breaking down financial engineering and what it means in healthcare

prestonalexander.substack.com/p/the-healthcare-breakdown-no-022-breaking

healthcare
vc/pe

Aug 20, 2023

6

The Healthcare Breakdown No. 021 - Breaking down the Private Equity party in healthcare

prestonalexander.substack.com/p/the-healthcare-breakdown-no-021-breaking?utm_source=substack&utm_medium=email

healthcare
PE

Aug 20, 2023

1

Patient Zero

prospect.org/health/2023-08-01-patient-zero-tom-scully/

healthcare
policy
to watch

Aug 19, 2023

72

The Economic Losers in the New World Order

www.wsj.com/articles/global-economy-economic-losers-fba30b53

Geopolitics
policy

Aug 19, 2023

3

Blue Shield of California invests in Cricket Health expansion aimed at treating kidney disease

www.healthcarefinancenews.com/news/blue-shield-california-invests-cricket-health-expansion-aimed-treating-kidney-disease

healthcare
nephrology
InterWell

Aug 18, 2023

1

HEALTHMAP SOLUTIONS NAMES ELI WAHESH AS CHIEF OPERATING OFFICER

news.healthmapsolutions.com/press-releases/healthmap-solutions-names-eli-wahesh-as-chief-operating-officer

healthcare
nephrology
HealthMap

Aug 18, 2023

2

Somatus Expands Partnership with Inova to Further Enhance Care and Improve Outcomes for Patients

www.hhmglobal.com/knowledge-bank/news/somatus-expands-partnership-with-inova-to-further-enhance-care-and-improve-outcomes-for-patients

healthcare
nephrology

Aug 18, 2023

2

Somatus and UnitedHealthcare Expand Value-Based Kidney Care Agreement to Five New States

markets.businessinsider.com/news/stocks/somatus-and-unitedhealthcare-expand-value-based-kidney-care-agreement-to-five-new-states-1032116789

healthcare
nephrology
Somatus

Aug 18, 2023

2

Duo Health and National Kidney Partners Announce Launch of Statewide Value-based Care Model in Florida

www.benzinga.com/pressreleases/23/07/b33391992/duo-health-and-national-kidney-partners-announce-launch-of-statewide-value-based-care-model-in-flo

healthcare
nephrology
Duo Health

Aug 17, 2023

2

Answers to your questions about the kidney care program - Cricket-Health.pdf

www.bswhealthplan.com/SiteCollectionDocuments/Providers/News/Cricket-Health.pdf

Aug 17, 2023

2

Penn Medicine Forms Joint Venture with Evergreen Nephrology to Transform Care for Kidney Disease Patients - Penn Medicine

www.pennmedicine.org/news/news-releases/2022/march/penn-medicine-forms-joint-venture-with-evergreen-nephrology-to-transform-care

healthcare
nephrology
Evergreen

Aug 17, 2023

1

Strive Health’s CareMultiplier™ Technology Platform Is Purpose-Built to Reinvent Kidney Care - Strive Health

strivehealth.com/news/strive-healths-caremultiplier-tm-technology-platform-is-purpose-built-to-reinvent-kidney-care/

healthcare
nephrology
Strive

Aug 17, 2023

3

Strive Health and the Largest Nephrology Group in Orange County, California, Launch Innovative Partnership to Improve Kidney Care - Strive Health

strivehealth.com/news/strive-health-and-the-largest-nephrology-group-in-orange-county-california-launch-innovative-partnership-to-improve-kidney-care/

healthcare
nephrology
Strive

Aug 17, 2023

1

New unicorn on the block: Somatus hauls in $325M+ to grow its value-based kidney care model - MedCity News

medcitynews.com/2022/02/new-unicorn-on-the-block-somatus-hauls-in-325m-to-grow-its-value-based-kidney-care-model/

healthcare
nephrology
Somatus

Aug 17, 2023

1

Blue Shield of California Unveils First-of-its-Kind Model to Transform Prescription Drug Care; Save up to $500 Million on Medications Annually

news.blueshieldca.com/2023/08/17/pharmacy-care-reimagined

healthcare
pharmacy
PBMs

Aug 17, 2023

2

Anthem makes Medicare Advantage kidney care play with Somatus

www.modernhealthcare.com/insurance/anthem-invests-kidney-care-startup-somatus

Aug 17, 2023

2

Special Announcements | Welcome to Blue Cross Blue Shield of Massachusetts

employer.bluecrossma.com/whats-new/special-announcements

healthcare
nephrology
InterWell

Aug 16, 2023

1

Oak Street Health and Interwell launch OakWell to provide primary care in dialysis centers

www.healthcarefinancenews.com/news/oak-street-health-and-interwell-launch-oakwell-provide-primary-care-dialysis-centers

healthcare
nephrology
InterWell

Aug 16, 2023

2

UPMC Health Plan & InterWell Health Launch Value-Based Agreement to Coordinate Care for UPMC Health Plan Members with Chronic Kidney Disease

www.prnewswire.com/news-releases/upmc-health-plan--interwell-health-launch-value-based-agreement-to-coordinate-care-for-upmc-health-plan-members-with-chronic-kidney-disease-301646739.html

healthcare
nephrology
InterWell

Aug 16, 2023

3

Molina Healthcare to Partner with Healthmap Solutions, Inc. Effective February 1, 2023 (Medicaid) - 2623-2301_HealthMap Medicaid Go Live_Blast Fax_Provider_FINAL_508c.pdf

blog.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/comm/updatesandevents/2623-2301_HealthMap-Medicaid-Go-Live_Blast-Fax_Provider_FINAL_508c.pdf

healthcare
nephrology
HealthMap

Aug 16, 2023

1

New Somatus Care Management Program for patients with CKD/ESRD | Wellcare

www.wellcare.com/en/Florida/Providers/Bulletins/Somatus-Care-Management-Program

Aug 16, 2023

1

Innovaccer and Evergreen Nephrology partner to Empower Nephrologists

innovaccer.com/resources/news/evergreen-nephrology-partner-empower-nephrologist-transform-kidney-care

healthcare
nephrology
Evergreen

Aug 16, 2023

3

Somatus Expands Multi-State Value-Based Kidney Care Partnership with Kidney Care Center

www.prnewswire.com/news-releases/somatus-expands-multi-state-value-based-kidney-care-partnership-with-kidney-care-center-301845631.html

healthcare
nephrology
Somatus

Aug 16, 2023

3

Strive Health and Prominence Health Plan Partner to Improve Care for Kidney Patients - Strive Health

strivehealth.com/news/strive-health-and-prominence-health-plan-partner-to-improve-care-for-kidney-patients/

healthcare
nephrology
Strive

Aug 16, 2023

1

Strive Health Unveils Strive Care Partners, Reaches 500 Nephrology Partners

www.businesswire.com/news/home/20211019006025/en/Strive-Health-Unveils-Strive-Care-Partners-Reaches-500-Nephrology-Partners

healthcare
nephrology
Strive

Aug 16, 2023

2

Regence and Strive Health partner to deliver comprehensive kidney care program

news.regence.com/releases/regence-and-strive-health-partner-to-deliver-comprehensive-kidney-care-program

healthcare
nephrology
Strive

Aug 16, 2023

1

Eight Nephrology Practices Partner With Strive Health and SSM Health to Improve Kidney Care for St. Louis Area Medicare Patients

www.businesswire.com/news/home/20220308005058/en/Eight-Nephrology-Practices-Partner-With-Strive-Health-and-SSM-Health-to-Improve-Kidney-Care-for-St.-Louis-Area-Medicare-Patients

healthcare
nephrology
Strive

Aug 16, 2023

4

Humana and Strive Health Announce Kidney Disease Care Coordination Services Collaboration In Kentucky and Indiana

press.humana.com/news/news-details/2020/Humana-and-Strive-Health-Announce-Kidney-Disease-Care-Coordination-Services-Collaboration-In-Kentucky-and-Indiana/default.aspx

healthcare
nephrology
Strive

Aug 16, 2023

1

Interwell Health Launches Managed Services for Physician Practices

www.prnewswire.com/news-releases/interwell-health-launches-managed-services-for-physician-practices-301695059.html

healthcare
nephrology
InterWell

Aug 16, 2023

2

The New InterWell Health – A Unique Opportunity to Transform Value Based Kidney Care

fmcna.com/insights/articles/new-interwell-health/

healthcare
nephrology
InterWell

Aug 16, 2023

3

Healthmap Raises $100 Million to Support Ongoing Expansion of Kidney Health Management

www.news-journal.com/healthmap-raises-100-million-to-support-ongoing-expansion-of-kidney-health-management/article_fb5828d4-6f13-57a4-a908-a8258f77f990.html

healthcare
nephrology
HealthMap

Aug 16, 2023

3

Healthmap Solutions Announces Kidney Health Management Program Partnership with Triple-S ...

www.bakersfield.com/ap/news/healthmap-solutions-announces-kidney-health-management-program-partnership-with-triple-s/article_c9e07b66-d23f-5883-8e73-cbd487eadbc8.html

Aug 16, 2023

Evergreen Nephrology and Hypertension Nephrology Associates, P.C. Partner

www.morningstar.com/news/pr-newswire/20230718de60869/evergreen-nephrology-and-hypertension-nephrology-associates-pc-partner

healthcare
Evergreen
nephrology

Aug 16, 2023

2

Duo Health Partners with Desert Kidney Associates for First-of-its-Kind Value-Based Care Model in Arizona

www.businesswire.com/news/home/20221220005215/en/Duo-Health-Partners-with-Desert-Kidney-Associates-for-First-of-its-Kind-Value-Based-Care-Model-in-Arizona

healthcare
nephrology
Duo Health

Aug 16, 2023

1

4

Blue Shield of California Unveils First-of-its-Kind Model to Transform Prescription Drug Care; Save up to $500 Million on Medications Annually

URL
https://news.blueshieldca.com/2023/08/17/pharmacy-care-reimagined
Tag
healthcare
pharmacy
PBMs

Highlights & Notes

Shield of California today announced a new pharmacy care model that is designed to fix problems in today’s broken prescription drug system. The nonprofit health plan is transforming how medications are purchased and supplied to its 4.8 million members by selecting organizations that share Blue Shield’s vision for more affordable and transparent pharmacy services.

Today’s announcement is a major milestone in Blue Shield’s Pharmacy Care Reimagined initiative, which will help provide its members with convenient, transparent access to medications while lowering costs. Once Blue Shield’s multi-year strategy is fully implemented, the health plan expects to save up to $500 million in annual drug costs.

In today’s current pharmacy supply chain, there can be up to a dozen companies involved in the process from when a drug is made to when a member receives it. Some can add complexity and cost without adding value or providing transparency into the rationale for their pricing. To simplify the system and cut unnecessary costs, Blue Shield has selected five companies with like-minded philosophical and technology standards to build a new, innovative model following regulatory approval. Together, Blue Shield will offer an integrated, coordinated, and holistic pharmacy experience to its members.

Amazon Pharmacy will provide fast and free delivery of prescription medications, complete with status updates, as well as upfront pricing and 24/7 access to pharmacists.
Mark Cuban Cost Plus Drug Company will establish a simple, transparent, and more affordable pricing model, reducing surprise drug costs at the pharmacy pick-up counter.
Abarca will pay prescription drug claims quickly and accurately while continuing to evolve its technology platform, Darwin, to support new, simplified payment models.
Prime Therapeutics will work with Blue Shield to negotiate savings with drug manufacturers to mov