Spotlight on Health Insurers
A weekly scan of actions taken by individual health plans
Spotlight on Health Insurers is a weekly review of news from the nation's leading health insurers, including coverage of exchanges, ACOs, health business news, provider contracting and personnel changes. Subscribe now to get an issue delivered to your inbox every Thursday!

May 21, 2015

This week's topics: Health Plan BusinessPeople on the MoveProvider ContractingValue-Based Care

Health Plan Business

CareFirst Announces Data Breach
CareFirst press release, May 20, 2015
CareFirst BlueCross BlueShield announced a data breach impacting limited information on 1.1 million members.

Anthem CFO Hints at Acquisition Possibility
Reuters, May 19, 2015
Chief Financial Officer Wayne DeVeydt said the current economic environment presents good conditions for an acquisition.

Aetna Shells Out $4.5M to Settle Abortion Case with Mo.
The Associated Press, May 19, 2015
Aetna Inc. agreed to pay the state of Missouri $4.5 million for paying for the elective abortions of women whose policies didn’t cover them, violating a state law that requires women to buy additional optional coverage for those procedures.

BCNEPA Provides Drug Overdose Antidote to Police
BCNEPA press release, May 18, 2015
Blue Cross of Northeastern Pennsylvania plans to supply law enforcement with the anti-opioid drug naloxone to help combat drug overdoses they encounter in the field.

Anthem Sued Over Hep C Treatments
Los Angeles Times, May 18, 2015
An Anthem member is suing the insurer for not covering the cost of Harvoni, alleging Anthem told her it wasn’t medically necessary because she didn’t have advanced liver damage.

Molina Agrees to Buy HealthPlus Medicaid Unit
Yahoo! Finance, May 15, 2015
Molina Healthcare, Inc. is planning to purchase the Michigan Medicaid business of HealthPlus of Michigan.

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Medicare Advantage News

People on the Move

Minn. Blues Appoints New Execs
Nasdaq GlobeNewswire, May 20, 2015
Blue Cross and Blue Shield of Minnesota named a new chief financial officer and chief transformation officer.

Triple-S CEO Announces Retirement
MarketWatch, May 18, 2015
Triple-S Management Corp. President and CEO Ramon Ruiz-Comas will retire in January 2016, to be succeeded by Chief Operating Officer Roberto Garcia-Rodriguez.

Arches Health Plan CEO Retiring
MarketWatch, May 18, 2015
CEO Linn Baker is retiring after leading the company since 2012.

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AIS's Specialty Pharmacy Trends and Strategies: 2015

Provider Contracting

Independence Signs Contract with Jefferson
Philadelphia Business Journal, May 19, 2015
Independence Blue Cross signed a new multi-year agreement with Jefferson Health.

UPMC Reports ‘Minimal’ Impact from Highmark Loss
Pittsburgh Post-Gazette, May 15, 2015
UPMC said the loss of its contract with Highmark Health has done little damage to its revenues.

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From the AIS Blogs

Do you think the Medicare Part D program needs additional protection from drug price inflation? Join the conversation at the AIS Blogs.

Value-Based Care

Cigna Reports Progress with Conn. ACOs
Hartford Courant, May 20, 2015
Cigna Corp. said its three collaborative care organizations are producing results.

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AIS's Rx Benefit Data - Sophisticated Database from AIS - Free Demo



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