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2017 BlueKC Approved Key Recommendations -
Savings Opportunities
Estimated Plan Cost
PMPM Savings
Description
Estimated Claim
PMPM Savings
based on Blue KC
BOB
Disruption Time to
Implement
Network Options
Express Advantage Network
(EAN) with National Plus Wrap
(Tiered network option)
68,000+ pharmacies
Lower copay/coinsurance at EAN and higher
copay/coinsurance at National Plus
Minimum $10 tier differential recommended
Group must qualify based on 30% disruption analysis
Anchors: Walmart, Costco, Kroger and Rite-Aid
Excluded: Walgreen’s and CVS/Target
$2.69 PMPM
Medium
120 days
Walgreen’s Advantage
Network (WAN) Exclusive
(Available 1/1/18)
41,000+ pharmacies
Group must qualify based on 30% disruption analysis
Anchored by Walgreen’s
Excluded: CVS/Target
$2.85 PMPM
High
120 days
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