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Keryx Biopharmaceuticals Inc. Message Board

aus10txus 7 posts  |  Last Activity: Apr 11, 2014 3:10 PM Member since: May 9, 2005
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  • aus10txus by aus10txus Apr 11, 2014 3:10 PM Flag

    Arena - Belviq Sales Up Modestly Heading Into Television Ads by Spencer Osborne
    This article was published on Fri, Apr. 11, 1:54 PM ET

    Read the full article now »


  • To all FEHB Carriers
    From The U.S. Office of Personnel Management
    Healthcare and Insurance
    March 20, 2014
    "It has come to our attention that many FEHB carriers exclude coverage of weight loss medications.
    Accordingly, we want to clarify that excluding weight loss drugs from FEHB coverage on the basis that obesity is a "lifestyle" condition and not a medical one or that obesity treatment is "cosmetic"- is not permissible."

    Insurance reimbursement has been targeted by Eisai (OTCPK:ESALY) because it plays a key role in the success of Belviq sales. Currently at 50%, The FEHB letter should be a big positive in moving Eisai to the goal of 70% insurance coverage for Belviq in 2014, and getting there ahead of schedule.

    To understand why the FEHB letter is a very big deal for Arena (ARNA) and Eisai and Belviq sales, we need to know, who is the FEHB and who got the letter? The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees

    The FEHB program covers about 4 million Postal workers, IRS agents, etcetera and another 4 million dependents, for a total of about 8 million people. FEHB pays roughly 70% of the premiums. 8 million HMO members moving toward Belviq coverage is not bad but what is interesting is the number and size of the health plans involved.
    According to Walton Francis in his book Putting Medicare Consumers in Charge, Lessons From the FEHBP, there are 250 carriers, or health plans in the FEHB Program.

    Who are these 250 health plans that received the letter from FEHB?

    Now these 250 plans have to file a form called a HEDIS with FEHB if they have more than 500 plan participants. I counted 87 filers of Hedis, leaving 163 plans with less than 500 participants. Even if all 163 plans had the maximum 499 participants it does not add up to much of anything in terms of patients [499 X 163 =81,337 FEHB participants out of 8 million = less than 1%] So for these 163, it is not the number of patients that matter, it's the decision. 163 health plans that must now set policy on Belviq. 163 health plans need to make a decision on Belviq, and who will help them with that decision?

  • MannKind's Dominating Win Annihilates the Shorts

    but I am concerned that when ARNA gets to the party the excitement over the weight loss pill
    will be over and done with. Thoughts please.

  • Reply to

    $25 PRE-MARKET MONDAY MORNING

    by booyahbuster Mar 21, 2014 5:30 PM
    aus10txus aus10txus Mar 24, 2014 10:48 AM Flag

    BOOYAH you don't know nothing. Quit making a fool out of yourself.

  • aus10txus by aus10txus Mar 24, 2014 10:45 AM Flag

    $25 PRE-MARKET MONDAY MORNING

    Mar 21, 2014 5:30 PM by booyahbuster

    Are we there yet? I mus of missed it.

  • Reply to

    Going higher people, strong support in place

    by brown443332 Feb 24, 2014 2:57 PM
    aus10txus aus10txus Feb 26, 2014 10:04 AM Flag

    Why is it always tomorrow????

  • SHAREHOLDER ALERT: Levi & Korsinsky, LLP Launches Investigation of GALENA BIOPHARMA, INC. for Possible Breaches of Fiduciary Duty

KERX
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