AIS's Health Business Daily is a daily email newsletter with strategic business stories written by experienced AIS Health reporters, as well as other information of interest to health care business leaders — including news from the nation’s leading health insurers, developments from the federal and state governments that impact the health care industry, and exclusive datapoints from Subscribe now to get an issue delivered to your inbox every morning!
August 7, 2017

Today's Featured Story    

Anthem Seeks More Constraints on ER Usage, but Meets Resistance
Reprinted from HEALTH PLAN WEEK

Anthem, Inc. says it is trying to save money while getting its patients more engaged in their health care by implementing a new emergency room policy that some critics say is too harsh. The policy, implemented in several states, denies coverage of ER care for certain conditions that Anthem says would be better treated at a physician’s office or urgent care center. But physicians are up in arms about it, saying the policy is dangerous to patients’ health — and even their lives.... Read Full Story

  Subscribe to AIS's Health Plan Week

Today's AIS Health Datapoint

2,287,369 ... lives are enrolled in Pennsylvania's Medicaid HMOs, as of first quarter 2017. AmeriHealth Caritas Family of Companies' plans nab the biggest market share; its nearly 700,000 Medicaid members represent more than 30% of all Medicaid lives in the state.



People on the Move

Regence BlueCross BlueShield of Utah appointed James Swayze plan president. He previously served as president and CEO of Colorado’s largest third party administrator of employee benefit plans….GlaxoSmithKline plc named Karenann Terrell chief digital and technology officer with the goal of transforming how new technologies are used to improve performance across the Group. She most recently was chief information officer for Wal-Mart Stores, Inc….Beacon Health Options hired Richard Lynch as executive vice president and market president, Northeast Region. He previously was chairman, president and CEO of CeltiCare Health Plan of Massachusetts, a Centene Corp. subsidiary.


The Featured Story of the day may be accessed on the day it is transmitted without logging in to Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on, please take a minute to create a free account now and get free access to thousands of articles, blogs and much more.

Questions or suggestions about the content in AIS's HEALTH BUSINESS DAILY should be directed to Executive Editor Jill Brown at

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm

Copyright © 2017 Managed Markets Insight & Technology, LLC. All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to

With archives of AIS's Health Business Daily, features like the News Archives, AIS Blogs and more! (Free registration required)

Visit AIS Health on: AISHealth  Follow AISHealth on Twitter  Follow AISHealth on Facebook  Follow AISHealth on LinkedIn