Spotlight on Health Insurers
A weekly scan of actions taken by individual health plans
 

July 24, 2014

This week's topics: Accountable Care OrganizationsExchanges Health Plan BusinessProvider Contracting

Accountable Care Organizations

Health Connect IPA and UnitedHealthcare Collaborate to Improve Patient Care Management in Northern Virginia
UnitedHealth Group Press Release, July 23, 2014
UnitedHealthcare and Health Connect IPA and are collaborating on a new accountable care organization for 17,000 northern Virginia residents enrolled in United's employer-sponsored health plans.

Presence Health Partners and Cigna Start Collaborative Care Program to Improve Health and Lower Costs
Cigna Press Release, July 23, 2014
Cigna and Presence Health Partners have launched a collaborative care initiative, effective July 1; it is Cigna's second collaborative care initiative in Illinois.

UnityPoint Health Partners and UnitedHealthcare Collaborate to Improve Patient Care Management in Iowa
UnitedHealth Group Press Release, July 23, 2014
UnityPoint Health Partners and UnitedHealthcare are collaborating on a new accountable care organization for more than 36,000 Iowa residents enrolled in UnitedHealthcare's employer-sponsored health plans in Cedar Rapids, Des Moines, Dubuque, Fort Dodge, Waterloo and the Quad Cities.

Blue Cross and Blue Shield of Louisiana Launches Quality Blue Value Partnerships to Engage More Providers
Blue Cross and Blue Shield of Louisiana Press Release, July 22, 2014
This month, Blue Cross and Blue Shield of Louisiana will launch Quality Blue Partnerships, an enhancement to its existing ACO within the region. It will cater to large provider groups and already has five groups enrolled.

Montefiore Medical Center and UnitedHealthcare Collaborate to Enhance Care, Improve Outcomes and Reduce Costs
UnitedHealth Group Press Release, July 21, 2014
UnitedHealthcare and Pioneer Accountable Care Organization Montefiore Medical Center are collaborating to provide enhanced, coordinated care to more than 9,000 New York residents enrolled in UnitedHealthcare's employer-sponsored health plans, including Oxford Health-branded plans.

UnitedHealthcare and Banner Health Network Collaborate to Improve Patient Care Management in Arizona
UnitedHealth Group Press Release, July 21, 2014
Banner Health Network and UnitedHealthcare are collaborating to launch an accountable care organization initiative, focused in Arizona.

Ochsner Health System, Ochsner Physician Partners and UnitedHealthcare Collaborate to Improve Patient Care Management in Southern Louisiana
UnitedHealth Group Press Release, July 21, 2014
Ochsner Health System, Ochsner Physician Partners and UnitedHealthcare are collaborating to launch a new accountable care organization, which begins Aug. 1 and will serve more than 350,000 southern Louisianans enrolled in UnitedHealthcare's employer-sponsored health plans.

BCBSNC and WakeMed Key Community Care Collaborate to Bring Accountable Care to Patients
Blue Cross and Blue Shield of North Carolina Press Release, July 18, 2014
Blue Cross and Blue Shield of North Carolina and WakeMed Key Community Care, an accountable care organization that participates in the Medicare Shared Savings Program, have signed an agreement for BCBSNC members who receive care from WakeMed Health & Hospitals.

Harbin Clinic and Cigna Start Collaborative Care Program to Improve Health and Lower Costs
Cigna Press Release, July 17, 2014
Cigna and Harbin Clinic have created a collaborative care initiative, implemented July 1; the program is the first for Rome, Ga., residents.

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The AIS Report on Blue Cross and Blue Shield Plans

Exchanges

Private Insurance Coverage Up 10% in N.D. Since Before ACA
The Dickinson Press, July 24, 2014
Deputy Insurance Commissioner Rebecca Ternes said that private insurance coverage through Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Medica and Assurant Health, as well as government programs, has increased by about 10.54% as a result of the Affordable Care Act.

Online Insurance Brokerage Sets Sights on Indiana
Indianapolis Business Journal, July 21, 2014
Gravie, an online health insurance brokerage founded by the creators of Bloom Health, is opening its website to Florida and Indiana companies, in addition to its home state of Minnesota.

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Dual-Eligibles Programs: Initial Results, Successes and Remaining Challenges - Sept. 17 Virtual Conference

Health Plan Business

Centene Corporation Reports 2014 Second Quarter Results & Raises Guidance
Centene Press Release, July 22, 2014
Centene released its second quarter 2014 results, including diluted earnings per share of $0.79, up from $0.71 in 2013.

Pharmacists, Insurers Get Synched
Rutland Herald, July 19, 2014
A new law in Vermont allows pharmacies to help patients synchronize their medications if they have different dates for refills of various medications; Blue Cross Blue Shield of Vermont and MVP Health Care had said previously that they would allow this at no additional cost.

BCBSWNY Withdraws From Medicaid Programs
BlueCross BlueShield of Western New York Press Release, July 18, 2014
Effective Oct. 31, 2014, BlueCross BlueShield of Western New York will no longer offer Medicaid programs in six western counties, citing insufficient revenue.

UnitedHealth Group Reports Second Quarter Results
UnitedHealth Group Press Release, July 17, 2014
UnitedHealth Group released its second quarter results; the company earned $1.41 billion, or $1.42 per share, down 2% from $1.44 billion, or $1.40 per share, in the same quarter of 2013.

R.I. Insurance Commissioner Cuts Some Rate Increases Sought by Health Insurance Companies
Providence Journal, July 17, 2014
Rhode Island released its 2015 approved premium increases, which are lower than increases requested by some insurers for individuals, small and large businesses.

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From the AIS Blogs

The MA industry knows what its critics think about it, and that’s a good thing for planning strategy changes. But does the industry know that its customers — presumably its biggest fans — also have some major criticisms, especially regarding customer service? And does it also know that, aside from wanting their plan to pay for their health care, the biggest thing many MA customers want from their plan is to leave them alone on clinical matters? Join the conversation at the AIS Blogs.


Provider Contracting

Geisinger and Highmark Reach Agreement on Five-Year Contract
Highmark Press Release, July 23, 2014
Geisinger Health System and Highmark Inc. have signed a five-year contract extension through 2019.

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