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Express Scripts feeling Growing Pains

October 29, 2009

Analysis of:Express Scripts to Close NextRx Deal in 4Q | quicktake.morningstar.com

On 11/04/09 TriCare, the health insurance plan for the US Military and its families are being moved to a new pharmacy benefit administered by Express Scripts. Despite assurances of transparency and no change in pharmacies, thousands of beneficiaries are being directed by Express Scripts to a single option for the most expensive drugs or specialty pharmacy products. This distributor is Curascript, wholly owned by Express Scripts.

Particle Beam Radiation Therapy (PBRT) life saving technology but who will pay?

October 22, 2009

Analysis of:Particle Beam Radiation Therapy published by AHRQ | effectivehealthcare.ahrq.gov

PBRT is an exciting technology that has emerged as a life saver for children and many adults with head/neck , eye and other difficult to treat cancers. Proton Centers require massive investments from $100-250 million. Payor groups from Medicare to commercial plans are faced with whether to pay for this promising technology and what diagnoses are appropriate. This study looks at the effectiveness of PBRT vs. IMRT and other current treatment options. But can centers have an ROI on uncommon cancer?

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