The road less traveled to low-cost drugs

Last week, Blue Shield of California announced the end of a 15-year partnership with CVS Health’s pharmacy benefits manager Caremark, in favor of new partnerships to provide access to affordable prescription drugs. For now, Blue Shield is betting on a predicted $500M in annual savings by switching to Mark Cuban Cost Plus Drugs Company (MCCPDC) for low-cost meds through retail pharmacies and Amazon Pharmacy for at-home delivery. This move away from the traditional PBM relationship raises big questions about what’s next for the PBM industry, which has been in the hot seat recently over high drug prices. Both MCCPDC and Amazon Pharmacy have doubled down on innovating for affordability in 2023, and now the market is watching to see if they deliver at the scale demanded by large payers. We’ll be tracking how this partnership sets the stage for channel disruption between payers and PBMs—as well as the impacts and savings for consumers.

New speakers have been added to the lineup for Rock Health Summit 2023!

Join us on September 27 to hear from Natasha Mascarenhas (The Information), Ricky Y. Choi, (Samsung Electronics), and Julie Yoo (Andreessen Horowitz), in addition to Bertha Coombs (CNBC), Emily Melton (Threshold Ventures), Erin Brodwin (Axios), and Othman Laraki (Color).

In-person tickets will sell out soon, so register today to join us in San Francisco! 

Headlines

Appeals Court Says Mifepristone Should Remain On The Market But Rules In Favor Of Limiting Access
Court ruling to pull back abortion pill availability via telemedicine will go to Supreme Court CNN

​​Hospitals Are Dialing Back On Venture Capital Investing
A widening gap between “haves and have nots” STAT

Why VCs Are Investing In Value-Based Care
Proven outcomes are king Axios

Digital Health Company Babylon Files For Bankruptcy In U.S., Will Liquidate
The end of the road for the U.K.-based company’s U.S. operations Forbes

Peloton Launches New Approach To B2B Service
Getting B2B right will be crucial for growth MobiHealthNews

Recent Funding

  • VBA bags $156M for its claims and benefits administration software
  • Viome lands $86.5M for its gut and oral health-focused diagnostic tests
  • Data security and insights firm for personal health information Tausight adds $6M
  • Longevo seeds $5.5M for its personalized wellness platform targeting Latin American markets
  • Toothio pulls in $4M for its on-demand staffing solution for dental practices
  • LighthouseAI collects $2.25M for its pharmaceutical supply chain compliance solutions