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Tuesday, Mar 31 2015

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United Healthcare To Buy Pharmacy Benefit Manager Amid Growing Concerns About Cutting-Edge Drug Costs

The nation's largest insurer will acquire Catamaran Corp. for about $12.8 billion. Pharmacy benefit managers are viewed as a key element in efforts to negotiate the prescription drug prices paid by customers.

UnitedHealth Group Inc.鈥檚 deal to acquire Catamaran Corp. for about $12.8 billion in cash will bulk up its pharmacy-benefit business amid growing concern from employers and insurers about the rising costs of cutting-edge drugs. Catamaran, the fourth-largest pharmacy-benefit manager in the U.S. by volume of prescriptions processed, will be merged into UnitedHealth Group鈥檚 OptumRx unit, the industry鈥檚 third-largest and part of the company鈥檚 Optum health-services arm. (Wilde Mathews and Walker, 3/30)

Whether the acquisition will benefit consumers may be an issue in the months ahead. Some experts suggest that the deal may weaken competition and prompt opposition from the Federal Trade Commission. Pharmacy benefit managers help negotiate with drug companies the prices of prescription drugs on behalf of employers, insurers and government agencies. The largest players in the industry include Express Scripts and CVS/Caremark. (Pfeifer, 3/30)

The nation's largest health insurer, UnitedHealth, will muscle up in its fight against rising specialty drug costs by spending more than $12 billion to buy pharmacy benefits manager Catamaran Corp. Pharmacy benefits managers, or PBMs, help negotiate the prices that customers pay for prescription drugs. They are seen as a key component in the push to contain rising specialty drug costs, an expense that could overwhelm parts of the health care system, especially the federal-state Medicaid program, insurers and other bill payers have warned. (Murphy, 3/30)

The nation鈥檚 largest health insurer, Minnetonka鈥檚 United颅Health Group Inc., will have more clout to push back against high drug prices with a $12.8 billion merger announced Monday. (Carlson, 3/30)

You don't have to look far these days to find stories about the rising costs of prescription drugs. By one count, drug spending jumped 13 percent last year, the highest annual increase in more than a decade. And health insurers have spent the better part of the past year warning anyone who'll listen that the new medications will come with high price tags that will strain the health-care system's ability to afford such medical advances. (Millman, 3/30)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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