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June 19, 2017

Today's Featured Story

Anthem’s Amerigroup Unit, N.C. Blues Team Up To Compete for State’s Managed Care Reboot
Reprinted from HEALTH PLAN WEEK

By partnering with local Blue Cross and Blue Shield carriers on Medicaid managed care business in states including North Carolina and Louisiana, Anthem Inc.’s Amerigroup unit gains robust local provider networks and brings operational know-how to the table in return, industry experts say.... Read Full Story


Today's AIS Health Datapoint

81.20% ... was the average medical loss ratio (MLR) among reporting Blue Cross and Blue Shield Plans during 1Q2017. These companies reported net incomes that totaled more than $3.5 billion.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)


People on the Move

Health New England appointed Kyle Bertke director of business development, responsible for the design, delivery and evaluation of new and existing products and benefits. He previously was director of business development for the Pro Venture initiative at Aetna Inc. In addition, Risk Adjustment Manager Jessica Dupont was promoted to director of risk adjustment, and Medicaid Program Manager Kerry LaBounty was promoted to director of government programs….Cigna Corp. named David Kobus market president for its Tri-State Market division, covering New York, New Jersey and Southern Connecticut. Kobus joins Cigna after a decade at Aetna, where he most recently served as executive director for the New York market….AMGA appointed Vice President of Membership and Marketing Ryan O’Connor to the position of interim president and CEO. He succeeds Donald W. Fisher, who passed away in March 2017.


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