Payer Briefs: Express Scripts Pricing Pilot; HHS Risk Adjustment; Value Frameworks

Indication-based pricing experiment by Express Scripts gets off to a quiet start; HHS makes progress on factoring Rx spending in its risk adjustment calculations for ACA plans and the National Pharmaceutical Council releases recommended standards for drug value assessments.

Pharmacy benefit manager Express Scripts Holding Co. launched its indication-based pricing pilot program for oncology drugs to clients in March, a company spokesman confirmed. However, the PBM is not currently disclosing which drugs may be covered by the program.

“Our clients are aware of the details regarding each associated oncology medication. For the time being, though, we are deferring...

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