Archive for June, 2008

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St. Louis - Less Beer More Health

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Here in St. Louis there has been a lot of upset people about the potential buyout of Anheuser-Busch by InBev.  Isn’t that business?  Don’t the shareholders want to maximize their return?  Of course, we have lost several big companies to international entities which obviously changes the dynamics, charity support, and other things but isn’t that […]


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Brand Prices Up; Generics Down

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For those of you who are interested in this type of stuff, I think the AARP Watchdog reports (Brand Report, Generic Report) which track prescription drug prices over time are pretty interesting.  (Note: This is for drugs most commonly used by Medicare recipients, but I think you’ll get the point.)

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Why People Choose Mail Order Pharmacy?

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I was looking for something else in the Express Scripts Drug Trend Report 2005 when I came across this study referenced on page 209. I should have remembered since I wrote this section (yes I was a contributor see page 332). This is a Morgan Stanley study which talks about why people choose […]


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Sprint Response

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Just to continue on the Sprint story I posted the other day. The response time to get a live person was 5 days (but only 3 business days). I then received an e-mail and a voicemail message. Interestingly, when I call back the individual’s direct dial number (nice), her voicemail says “from […]


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Sell Your Captive PBM - Why?

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I was a little surprised by the quote from Lisa Gill from JPMorgan Chase about why health plans should sell their in-house PBMs (Pharmacy Benefit Management):
“I think it makes a lot of sense for PBMs [pharmacy benefit managers] to be sold or spun off as a stand-alone business. The only time it will make sense […]


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Express Scripts Jumps Into Worker’s Compensation

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Express Scripts has been in the Worker’s Compensation space for years now.  As I suggested several months ago (see #2), buying a worker’s compensation PBM makes some sense.  The margins are good, but it does require a different service model.
That being said, they jumped in last week with the announcement to buy the worker’s compensation […]


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A Few AIS Quotes Of The Day

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I have a few more to post, but I often find their quotes interesting (www.aispub.com).
“Specialty medications require significant education for patients to feel confident self-injecting and achieve a successful outcome. For many patients, injecting a medication into the skin or muscle can be very intimidating. Because of the expense and the complexity of the medication, […]


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George Paz (Express Scripts) on Adherence

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Paul Levy who is the CEO of a hospital has a blog called Running A Hospital.  He posted a summary the other day of a presentation by George Paz who is the CEO of Express Scripts.  It has some good facts and there are several good comments on there about defining the terms in this […]