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December 20, 2016

Today's Featured Story

Anthem Leaders Likely Regret Pushing for a Speedy Trial With DOJ
Reprinted from THE AIS REPORT ON BLUE CROSS AND BLUE SHIELD PLANS*

It’s likely that Anthem, Inc. executives are regretting their decision to push for a speedy trial against the Dept. of Justice (DOJ) regarding Anthem’s effort to acquire Cigna Corp. (U.S. v. Anthem, Case No. 1:16-cv-01493). DOJ officials appointed by the incoming Trump administration might be more receptive to the proposed $51 billion deal.... Read Full Story

* Not affiliated with the Blue Cross and Blue Shield Association or its member companies.

 

Quote of the Day

“I think you would see fluctuations across the markets. Some markets would become more expensive and some would become less. But in general this way would drive greater price competiveness, and that would probably favor the larger, more scaled players and create financial strain on companies as they price aggressively in order to maintain an attractive position in the marketplace.”

— Jim Fields, a partner in Oliver Wyman’s health and life sciences practice, tells Health Plan Week about the impact of introducing true competitive bidding into the Medicare Advantage program.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "Medicare ‘Free-Market’ Changes May Be in The Offing if GOP Pushes for Legislation" . (Free for HPW subscribers; $17 for non-subscribers.)

 

Today's Datapoint

$898.71... is the highest SHOP premium offered to a 40-year-old for 2017; it is for a silver-level HMO in New Mexico’s rating area #2. The lowest premium available on the New Mexico SHOP exchange is $176.01, for a bronze-level plan in rating area #4.

From AIS's HEALTH INSURANCE EXCHANGE DATABASE

 

Today from Washington

People on the Move

Cody hired Paul Notarnicola as executive director of business development. He previously served in the same role for Change Healthcare Consulting, and also spent seven years in a variety of roles with UnitedHealth Group….West Health promoted Timothy A. Lash to chief strategy officer. Lash will also continue in his role as executive vice president of successful aging for West Health and president of the West Health Policy Center….The National Association of Chain Drug Stores appointed William Tighe vice president of federal government affairs and Amber Manko director of federal government affairs. Tighe most recently served as chief of staff to U.S. Rep. Tom Marino (R-Pa.), chairman of the House Subcommittee on Regulatory Reform, Commercial and Antitrust Law. Manko most recently served as director of federal affairs at CAPG.

 

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