CVS-Aetna deal to change how big employers buy health benefits

A combined CVS-Aetna will reorder those options, leaving Express Scripts as the only standalone company big enough to easily provide pharmacy benefits to top employers.

Aon’s Winkler expects This kind of will lead large companies to turn to their insurer for pharmacy benefits the same way mid-sized companies have. About 63 percent of large corporations use a separate pharmacy benefit company, consultant Mercer’s 2016 employer survey found.

In scale, CVS in addition to also Aetna offer a much bigger pharmacy benefits manager than UnitedHealth, which expanded its OptumRx business with the $13 billion purchase of Catamaran in 2015.

Anthem in October said the idea would certainly expand its own pharmacy benefits business, in addition to also hired CVS to help do so. which partnership could be thrown into jeopardy by the brand new Aetna agreement, health industry analysts said.

Insurers say combining the two benefits saves money. Large employers who combine the benefits under one insurer have begun to demand insurers hit a specific dollar figure of medical cost savings per member, per year, said David Dross, national pharmacy practice leader at Mercer, part of Marsh & McLennan.

Insurers may also try to make the idea more pricey for large companies to keep the benefits separate.

Some have started out charging mid-size corporate customers, who employ 2,000 to 10,000 people, additional fees for integrating medical claims in addition to also pharmaceutical claims when they are managed by different companies, Dross said, in addition to also could require those fees for larger clients as well.

“The plans have sort of decided This kind of is usually the product we need to move to right now,” Dross said. He expects which next year, as large companies negotiate their benefits contracts, they will be asking much more than inside the past “will a carve-out option look better, or does the carve-in option look better?”

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