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Going Bust in Part D: Sierra Folds to United

This article was originally published in RPM Report

Executive Summary

Playing for high stakes is fun, but not if you find yourself matched against bigger players who are holding all the cards. That must by how Sierra Health Systems feels after being cleaned out by the two Medicare goliaths, Humana and UnitedHealth Group.

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Finally, some statistics about the impact of the Medicare Part D donut hole. The good news: drug manufacturers need not worry about most patients entering the coverage gap. The bad: a relatively large number of the industry's best customers do reduce their medication use in the donut hole-and if a customer is lost to the donut hole, they may be lost for good.

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