Volume 16 April 16, 2019
RxReins is a dedicated Managing General Underwriter (MGU) specializing in prescription stop loss insurance for group benefit plans. We work closely with Brokers, TPAs and PBMs to provide the best available products from multiple A-rated carriers in all fifty states . RxReins is a member of the ELMC Risk Solutions family of companies.
MONTHLY NEWS AND UPDATES
CVS, Cigna, Humana Blame Big Pharma at Senate Hearing for Skyrocketing US Drug Prices

"Executives blamed high drug prices on the drugmakers and their pursuit of profits. They blasted the drug industry fo r the rising cost of brand-name drugs and cited the high cost of insulin, a nearly 100-year-old medication,  which has nearly doubled  i n price from 2012 to 2016 to $5,700 from $2,900. A major factor contributing to the increase in drug spending is the list price of prescription drugs. Drug manufacturers alone set the list price of prescription drugs,” said William Fleming, president of health-care services at Humana. “Drug manufacturers raise list prices to boost their revenue."


Senate Hearing Addresses Role of Pharmacy Benefit Managers in Drug Pricing

"On Tuesday, a US Senate Finance Committee hearing on drug pricing focused on addressing the role of pharmacy benefit managers (PBMs) in determining cost to patients.The hearing, “Drug Pricing in America: A Prescription for Change, Part III.” Committee chairman Sen. Chuck Grassley (R-Iowa) said that Medicare prescription drug plans hire PBMs to manage Part D benefits. PBMs are responsible for negotiating with drug companies and pharmacies to arrive at a product’s cost, deciding how much patients will pay out of pocket and what drugs are included in their health care plans, he said. "   

Study Shows Patients Commonly Misdiagnosed with Multiple Sclerosis

"A new study found that approximately 18% of patients were misdiagnosed with multiple sclerosis (MS) before being referred to 2 major Los Angeles medical centers for treatment. Many of the symptoms of MS can mimic other conditions, such as stroke, migraines, and vitamin B12 deficiency, which can make it difficult to accurately diagnose the condition. Often, providers must rule out other potential diagnoses first .”

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