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July 31, 2017

Today's Featured Story    

CO-OPs Get Reinsurance Funds, Owe Millions for 2016 Risk Adjustment
Reprinted from HEALTH PLAN WEEK

It’s been a year since a batch of Consumer Operated and Oriented Plans (CO-OPs), nonprofit plans created by the Affordable Care Act (ACA), failed in Illinois, Oregon and Connecticut. More recently, Evergreen Health in Maryland dropped out of the CO-OP program, got state approval to convert to for-profit status, and intends to participate in the state exchange’s individual and small-business markets for 2018... Read Full Story

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Today's AIS Health Datapoint

2,672,418 ... is the number of Medicaid fee-for-service (FFS) lives in California. While the state ranks highest in FFS beneficiaries, these lives will soon transition to managed care plans.



People on the Move

Regence BlueShield named Tim Lieb market president. The Cambia Health Solutions, Inc. subsidiary said Lieb has served as interim market president of Regence BlueShield since March, in addition to his primary role as vice president of sales….CDPHP appointed Daniel Sauer vice president of sales. He has nearly 30 years of experience in health care, including leadership positions at Prudential HealthCare and HealthNet. He was most recently vice president of sales at MVP Health Care….Mobile Health hired Greg Armer as vice president, strategy and growth. Most recently, Armer led the West Region account management team in Anthem, Inc.’s national accounts unit.


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