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, value-based health care arrangements, provider contracting and personnel changes. Subscribe now to get an issue delivered to your inbox every Thursday!

July 30, 2015

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

Health Plan Business

Humana Tops Earnings Projections
Nasdaq, July 29, 2015
Humana Inc. announced better-than-expected earnings of $1.67 per share, but failed to beat its year-ago earnings of $2.19 per share.

Anthem Beats Street in 2Q
The Street, July 29, 2015
Anthem, Inc. topped investor expectations when it posted earnings of $3.10 per diluted share, a more than 21% increase over the year-ago period.

Health Net Cancels Earnings Call
Health Net press release, July 29, 2015
Health Net, Inc. canceled its second quarter earnings call, citing the pending acquisition by Centene Corp. The company will issue its scheduled press release.

BCBSMN Opens New Retail Front
Nasdaq, July 29, 2015
Blue Cross and Blue Shield of Minnesota is opening a second retail store in Roseville, following the positive reception of its first store in 2014.

Transgender Woman Sues Aetna for Surgery
The Denver Post, July 28, 2015
A transgender woman is suing Aetna after she said the insurer refused to cover her surgery.

Centene Mulls MA Acquisitions
St. Louis Post-Dispatch, July 28, 2015
Centene is considering snapping up the Medicare Advantage assets the larger insurers might be forced to divest in order to win the approval for their high-profile acquisitions by federal antitrust regulators.

Aetna Lawsuit Against Texas Hospital Continues
Law360, July 27, 2015
A lawsuit by Aetna Inc. against a Texas hospital survived a motion to dismiss, with the judge only partly granting the motion in the kickback case.

Anthem Sued Over Harvoni Exclusion
Courthouse News Service, July 27, 2015
A woman is suing Anthem after she alleged the insurer refused to cover the hepatitis C drug Harvoni, saying her liver was not sufficiently damaged to warrant the drug.

Anthem Announces Plans to Acquire Cigna
NPR, July 24, 2015
Anthem is planning on purchasing Cigna Corp. for close to $50 billion.

Investor Sues Humana Over Cigna Deal
Law360, July 23, 2015
A Humana investor claims the proposed acquisition of Cigna undervalues Humana and doesn’t put enough stock in antitrust obstacles.

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AIS’s Medicare and Medicaid Market Data: 2015

People on the Move

WellCare Names S.C. Prez
PR Newswire, July 27, 2015
WellCare Health Plans, Inc. named Kathy Warner state president of its South Carolina unit.

FirstCare Names New Execs
FirstCare press release, July 24, 2015
FirstCare Health Plans appointed Gerald Shields chief information officer and Sonya Henderson senior vice president of corporate compliance and government programs.

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Health Plan Week

Provider Contracting

Baxter Regional Ends MA Contract With Humana
The Baxter Bulletin, July 29, 2015
Baxter Regional Medical Center is terminating its Medicare Advantage with Humana Inc. at the end of the year, affecting 1,500 patients.

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From the AIS Blogs

MA Provider Directories and CMS Marketing Guidelines: Did Plans Get Off Easy? Join the conversation at the AIS Blogs.

Value-Based Care

Humana, Premier Ink Value-Based Deal
Business Wire, July 30, 2015
Humana is teaming with Premier Health to offer an accountable care program to its Medicare Advantage customers in Ohio.

Tufts, Iora Launch ACO Clinics
BusinessWire, July 29, 2015
Tufts Health Plan and Iora Health created an accountable care organization, with two primary care clinics slate to open in the Boston area in September.

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