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The AIS Report on Blue Cross and Blue Shield Plans
Today’s issue is brought to you by The AIS Report on Blue Cross and Blue Shield Plans, a hard-hitting independent monthly newsletter on new products, market share, management strategies, profitability, strategic alliances and executive compensation of BC/BS plans. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.) Sign up for a $72 two-month trial subscription today.

December 29, 2016

Today's Featured Story

Blues Plans Will Continue to Invest In Value-Based Payment Models
Reprinted from THE AIS REPORT ON BLUE CROSS AND BLUE SHIELD PLANS*

Blue Cross and Blue Shield plans will continue to invest in value-based care programs in 2017, as results start to show the initiatives’ potential to slow cost increases and improve quality. That’s despite vows from President-elect Donald Trump and the newly elected Republican Congress to repeal and replace the Affordable Care Act, which helped spur these initiatives.... Read Full Story

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

 

Quote of the Day

“Cut points go up every year, so we wanted to stay ahead of that curve and drive adherence as high as we can. And to be able to stay a five-star, we know we have to keep working at it.”

— Kelly Verrall, manager, medication therapy management, with Independent Health, tells Medicare Advantage News about the insurer’s CMS star quality program.

From MEDICARE ADVANTAGE NEWS — "Independent Health Stays Ahead Of Stars Curve With Pharmacist Pact"

 

Today's Datapoint

213,146 ... members is the size of Centene’s largest individual commercial market, California. That is 6.78% of the insurer's total California membership, and 2.01% of its nationwide medical enrollment.

From AIS’s DIRECTORY OF HEALTH PLANS

 

Today from Washington

People on the Move

Quantum Health promoted Senior Vice President of Sales Michael Formica to executive vice president of sales….Cantor Fitzgerald & Co. hired Bill Tanner, Ph.D., as a senior research analyst covering biotechnology and Steven Halper as a senior research analyst covering healthcare services. Tanner joined the firm from Guggenheim Securities, where he was a senior biotechnology analyst. Halper previously focused on healthcare information technology, managed care and pharmaceutical service industries at several major firms including FBR Capital Markets and previously Lazard Capital Markets.

 

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