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March 15, 2017

Headlines in the News

Obamacare revision would reduce insured numbers by 24 million
Washington Post, March 13, 2017

How Blue Shield's Oakland headquarters move will save it millions
San Francisco Business Times, March 10, 2017

‘Globesity’ Reaches Pandemic Levels: Aetna International Report
Business Insurance, March 13, 2017


Today's AIS Health Datapoint

7,809,009 ... was the 2016 total medical enrollment for Kaiser Foundation Health Plan, Inc., the largest provider-sponsored insurer in the U.S. The vast majority — 6,155,849 — of these enrollees in Kaiser's California plan are categorized as commercial risk.

From AIS’s DIRECTORY OF HEALTH PLANS

  Now accepting pre-orders for AIS's Directory of Health Plans: 2017

Quote of the Day

“One of the discussions we’d like to have with CMS is what is the ultimate goal of collecting all of this data, whether it’s star ratings or risk adjustment or anything else that we’re submitting….What is your end goal? Is it really quality? Is it making sure that everybody’s paid correctly? Are you looking to make sure that beneficiaries get the best benefits at the lowest premium that they can, or is it a combination? And are we all submitting the right data to get there?”

— Daphne Klausner, senior vice president of government markets at Independence Blue Cross, speaking at a recent congressional briefing at which Medicare Advantage industry leaders discussed changes proposed in the 2018 Advance Notice and draft Call Letter.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this quote appeared — "Fearing Lower Risk-Adjusted Pay, MA Plans Want CMS to Go ‘Back to Zero’ on EDS Use" (Free for MAN subscribers; $17 for non-subscribers.)

 

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