INSURERS INVEST IN LAB BENEFIT MANAGERS

How three major LBMs became affiliated with insurance companies over time

CARELON MEDICAL BENEFITS MANAGEMENT

Date Event
July 2007 Anthem’s Wellpoint buys American Imaging Management, a radiology benefits manager, to form AIM Specialty Health
May 2016 AIM Specialty Health partners with InformedDNA to help payers manage genetic testing costs and coverage
August 2017 Anthem launches Genetic Testing Solution for payers, with AIM Specialty Health administering the program
February 2023 Elevance Health (formerly known as Anthem) renames AIM Specialty Health to Carelon Medical Benefits Management

EVICORE HEALTHCARE

Date Event
December 2014 Diagnostic management company MedSolutions and imaging management provider CareCore merge to form EviCore healthcare
December 2017 Pharmacy benefit manager Express Scripts buys EviCore
December 2018 Cigna buys Express Scripts
September 2019 Cigna launches Embarc Benefit Protection, which consolidates EviCore’s lab benefit management services with Cigna’s specialty pharmacy management services

AVALON HEALTHCARE SOLUTIONS

Date Event
June 2013 Former Centers for Medicare and Medicaid Services Deputy Administrator Adam Boehler co-founds Avalon Healthcare Solutions
February 2017 Avalon raises $29.3 million in a Series C funding round, led by three investors including Blue Cross Blue Shield South Carolina
October 2022 Avalon partners with UnitedHealth Group to offer a lab benefit tool for payers