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

September 4, 2014

Note: Spotlight on Health Insurers will not be published next week. The next issue will be sent on Sept. 18.

This week's topics: ExchangesHealth Plan BusinessProvider Contracting


Insurers Land Tennessee Approval for 2014 Rate Hikes
Nashville Business Journal, Sept. 3, 2014
BlueCross BlueShield of Tennessee was approved for a 19% rate increase, while Humana and Cigna landed 14.4% and 7.5% hikes, respectively.

Many New Mexicans Will Pay Less for Health Insurance Next Year
Albuquerque Business Journal, Sept. 3, 2014
For those who buy from the state exchange, individual premiums in NM will drop by an average of 1-2% in 2015.

Insurance Rate Hikes Approved for Vermont Health Connect Customers
WCAX, Sept. 2, 2014
The Green Mountain Care Board approved a 7.7% increase for Blue Cross Blue Shield of Vermont and a 10.9% increase for MVP.

More Peninsula Choices in 2015 Washington Healthplanfinder
Peninsula Daily, Sept. 1, 2014
The state of Washington will go from having 8 insurers selling 46 plans in 2014 to having 10 insurers selling 90 plans in 2015.

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Health Plan Facts,Trends and Data 2014-2015

Health Plan Business

Technology, Virtual Visits Increasing Patient Access to Care
Journal News, Sept. 2, 2014
Anthem Blue Cross and Blue Shield of Ohio is implementing MedStop consoles that provide 24-hour virtual access to physicians.

WellCare, Centene Top MMA Enrollment
Health News Florida, Sept. 2, 2014
In Florida, WellCare’s Staywell plan more than 600,000 Medicaid members and Centene’s Sunshine Health Plan has 372,000 enrolled.

Centene Creates Claims Processing Center in Ferguson
Centene Press Release, Sept. 2, 2014
Centene’s new processing center is projected to create between 150 and 200 full-time jobs. The claims will be processed from Missouri-based Home State Health Plan.

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Provider Contracting

Blue Cross-CHI Health Contract Expires
Schuyler Sun, Sept. 3, 2014
More than 1000 Nebraska physicians and several Nebraska hospitals affiliated with CHI Health have been removed Blue Cross’ statewide network.

N.H. Nixes Request to Include Frisbie Hospital in Network
Seacoastonline, Sept. 3, 2014
The New Hampshire Insurance Department denied a woman’s request to include her doctor and others affiliated with Frisbie Memorial Hospital in the new provider network for individuals under the Affordable Care Act.

Highmark Releases Post-UPMC Transition Plan
Highmark Press Release, Sept. 2, 2014
Highmark’s transition plan lays out the provider network and member protections in place after UPMC leaves at the end of 2014.

CHI St. Luke’s Health, Cigna Reach Agreement on New, Multi-Year Contract
Your Houston News, Aug. 31, 2014
The new agreement enables Cigna’s Houston-area customers to continue to receive covered care at CHI St. Luke’s Health hospitals and facilities on an in-network basis.

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Inside Health Insurance Exchanges



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