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Medco Rethinks Part D: Bailing Out or Mailing it In?

 
• By Michael McCaughan

Medco shed over 100,000 Part D members in 2007 and the company couldn't be happier. Medco says it has no interest in serving the poorest Medicare beneficiaries, because they do not use mail order and can't be given viable economic incentives to do so. If other plans start to think like Medco, Part D advocates may have reasons to worry.

Medco Health Solutions Inc. just lost 25% of its biggest new market and the company couldn’t be happier about it. Actually, Medco could be a bit happier, if only they had lost more members.

Heading into 2007, Medco has approximately 320,000 Medicare beneficiaries enrolled in its stand-alone Part D drug insurance plan—a loss of more than 100,000 enrollees from 2007. That sounds like bad...

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