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July 11, 2017

Hot Topic

Health insurers are continuing to build, buy and partner to add retail clinics to their provider networks. Here’s a look at recent developments:

Insurers Are Learning the Do’s And Don’ts for Selling to Millennials
They’re young, they’re healthy, they’re uninsured and they see little reason to slice off part of their paycheck for something they can’t use until they first spend thousands of dollars to meet an annual deductible....

MA Plans Can Utilize Community Partners, Providers to Reach High-Risk Members
When it comes to managing risk and closing gaps in care, the solution isn’t always as simple as targeting the costliest members....

GuideWell Hopes to Guide Blues Toward Better Member Engagement
An arsenal of consumer-engagement tools developed by one of Florida Blue’s sister companies is being marketed to Blues plans and other health insurers to help them more effectively engage their swelling book of non-group members....

Today's AIS Health Datapoint

$25.97 ... is the average copay of an individual-market bronze level plan for an in-network primary care physician visit. For plans requiring coinsurance, the average is 35.41%.


            Check out a demo of AIS Health's Rx benefit database

Quote of the Day

New York health plans that specialize in Medicaid entered the exchange “because they felt it was the best way to help with members’ churning...and to say to them they have to continue — it seems like a big anvil to hold over someone’s head, to say that you have to continue serving a small number of [exchange] enrollees or risk losing the lion’s share of your population.”

— Leslie Moran, senior vice president of the New York Health Plan Association, reacting to New York Gov. Andrew Cuomo’s (D) plan to bar any insurer who withdraws from the state’s exchange from participating in the state’s Medicaid program.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "New York Tells Health Insurers: No Exchange, No Medicaid for 2018" (Free for HPW subscribers; $17 for non-subscribers.)


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