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!
September 21, 2017
Today's Featured Story
Radiologists Push Back as Anthem Alters Coverage Policy for Some Hospital Imaging
Reprinted from HEALTH PLAN WEEK
Close on the heels of its controversial policy aimed at placing constraints on emergency room visits, which has met with resistance, Anthem, Inc. is implementing another coverage policy based on “medical necessity.” This time it’s for hospital-based outpatient imaging across its Blue Cross and Blue Shield plans in 13 states. The upshot is that the Indianapolis-based health insurance giant won’t pay for certain imaging tests done on an outpatient basis in hospitals that the insurer asserts could be done in less costly settings. The move is getting strong pushback from radiologists amid their concerns that other insurers may follow suit....  Read Full Story
Subscribe to AIS's Health Plan Week

Today's AIS Health Datapoint
1,319,067 ... is the number of lives served by Colorado's five Medicaid Behavioral Health Organizations (BHOs) as of the second quarter of 2017.

People on the Move
Beacon Health Options named Daniel McCoy executive vice president and chief operating officer. He previously served as COO of Amedisys….Fallon Health appointed Rigoberto Serrano senior care products account executive. Previously, Serrano worked as a geriatric services support coordinator for Greater Springfield Senior Services and as a case worker for the Department of Children and Families….AmeriHealth New Jersey promoted Ryan Petrizzi to vice president of sales. He most recently served as vice president of consumer markets and product development….Anthem, Inc. subsidiary Amerigroup Kansas appointed Frank Clepper health plan president. He joined Amerigroup five years ago and most recently served as interim president, regional vice president and chief operation officer of Amerigroup Kansas.

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