Humana turns to game theory for new Medicare pricing as insurers juggle Trump rebate uncertainty

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Humana turns to game theory for new Medicare pricing as insurers juggle Trump rebate uncertainty
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The game theory comes in with the timing of when new rules might be adopted. Executives note the deadline for filing 2020 plans is in early June.

Humana executives say they are modeling a number of scenarios to try to figure out how they'll price their Medicare drug plans for 2020 as the health insurance industry awaits new pharmacy benefit rebate regulations expected this spring from the Trump administration.

Wheatley told investors Tuesday that the Trump proposal to force Medicare plans to pass on negotiated drug discounts to consumers at the pharmacy counter would result in lower prices for its members using brand names drugs, but there will be trade-offs. "To the extent that the rebate proposal doesn't go through, we also have to be mindful about how manufacturers are going to behave as we bid for 2020 and so we're very focused on that," said Brian Kane, Humana CFO.

"We see customer preferences changing and being more demanding … 'make it simple for me, make it easier … know me, personalize the interaction," said CEO Bruce Broussard.

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