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Secondary Coverage Suit Against Anthem Survives Dismissal


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March 10, 2021
On Tuesday the court issued an opinion in a case brought against Anthem Insurance Companies Inc. and others. The Southern District of Indiana case presented the question of whether ERISA pre-emption from a primary insurance plan’s coverage extends to secondary insurance when the secondary coverage is conditioned on the primary insurance’s coverage. The court rejected Amthem’s motion to dismiss the case.
The opinion recounted that the plaintiffs sued on behalf of their minor child regarding a vaccination the child was supposed to receive in a timely manner to prevent massive medical complications. The child had primary insurance coverage under Kroger Prescription Plans and obtained secondary Medicaid insurance coverage under Anthem BCBS. When the parents sought to obtain the vaccination dose, the patient’s primary coverage, Kroger, indicated that the balance would go to the deductible, making the payment the responsibili ....

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IPM Names Rich Adams President and Chief Operating Officer


IPM Names Rich Adams President and Chief Operating Officer
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FRESNO, Calif., Jan. 6, 2021 /PRNewswire/  Integrated Prescription Management (IPM), a leading pharmacy benefits management (PBM) company, has promoted Rich Adams to President and Chief Operating Officer, effective January 1, 2021.
Since joining IPM a year ago, Rich has done a tremendous job in overseeing operations and strengthening our core competencies, said IPM s Chief Executive Officer Troy Collins. Under his leadership, IPM has continued to flourish as a nimble and forward-thinking PBM.
(PRNewsfoto/Integrated Prescription Management)
It s exciting to be part of an organization that s committed to providing personalized care, integrated data, and world-class service, said Rich. I m honored to be a part of this incredible team as we work together to transform the pharmacy benefits experience. ....

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