The strange dance between the pharmaceutical industry, insurers and the Obama administration has taken a new turn. When it comes to one of the wonkiest healthcare policies out there, all three seem close to agreement. They want prescription drugs to be included in determinations about whether a certain pools of patients are riskier than others.
The determinations are important because insurers who take on riskier sets of patients are eligible to receive compensation under Obamacare. Right now, those determinations are made using just medical claims. Drug companies and insurers generally agree that prescription drugs should be included in the risk adjustment models. They currently are not.
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