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

December 18, 2014

Note: Spotlight on Health Insurers is taking a two-week holiday break. The next issue will be sent on Jan. 8.

This week's topics: Accountable Care OrganizationsHealth Plan BusinessPeople on the MoveProvider Contracting

Accountable Care Organizations

Anthem, University Hospitals Team Up in ACO
Crain’s Cleveland Business, Dec. 15, 2014
Anthem, Inc. and University Hospitals joined forces in creating an accountable care organization that encompasses 2,000 UH and independent doctors.

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Health Plan Business

Health Net Issues 2015 Guidance
Business Wire, Dec. 18, 2014
Health Net, Inc. projected an 8.2% increase in membership for 2015, totaling 3.5 million lives.

Humana Reaches HIV/AIDS Agreement With Fla.
Business Wire, Dec. 17, 2014
Humana Inc. has reached an agreement with the state of Florida to increase accessibility to patients in need of HIV/AIDS drugs.

Highmark Conducts Ad Agency Review
Mediabistro, Dec. 16, 2014
Highmark Health is conducting a review of the ad agency it works with in response to the shifting health care consumer landscape.

Anthem Sued for Anti-Competition in Ind.
Indiana Business Journal, Dec. 15, 2014
A federal lawsuit against Anthem accuses the insurer of anti-competitive behavior.

AgeWell New York Introduces New MA Plans
Marketwatch, Dec. 15, 2014
AgeWell New York launched three new Medicare Advantage prescription drug plans for 2015.

Aetna Issues Low EPS Guidance
The Street, Dec. 12, 2014
Aetna, Inc. unveiled lower-than-projected EPS guidance for 2015 at its annual investor conference.

Centene Sees Growth for 2015
Centene press release, Dec. 12, 2014
Centene Corp. estimates a 32% increase in premium and service revenues for 2015.

Cromnibus Contains Favor to BCBS
The Wall Street Journal, Dec. 11, 2014
The government spending bill contains a provision that relaxes regulation for tax-exempt insurers like Blue Cross Blue Shield plans.

BCBS of Ga. Retains Majority of State Employees
Georgia Health News, Dec. 11, 2014
Blue Cross and Blue Shield of Georgia will keep 80% of the state’s workers after the introduction of Kaiser Permanente and UnitedHealthcare into the state exchange.

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Health Plan Facts,Trends and Data 2014-2015

People on the Move

WellCare Appoints Several New Execs
WellCare press release, Dec. 15, 2014
WellCare Health Plans, Inc. appointed three new executives, including Ken Burdick as CEO.

Cigna Names New Head of New England Market
Cigna press release, Dec. 15, 2014
Mark Butler joined Cigna Corp. as president and general manager of its New England territory.

Humana Names New CAO
Humana press release, Dec. 15, 2014
Humana appointed Cynthia Zipperle chief accounting officer.

BCBST Appoints New Exec
The Chattanoogan, Dec. 11, 2014
BlueCross BlueShield of Tennessee named Jennifer Butler vice president of application development.

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ACO Business News

Provider Contracting

United Pilots Flat-Rate Cancer Model
The Wall Street Journal, Dec. 15, 2014
UnitedHealthcare (UnitedHealth Group) is trying out a new cancer payment model where it will pay MD Anderson Cancer Center a flat rate per patient per year.

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