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!

April 16, 2015

This week's topics: Value-Based CareHealth Plan BusinessPeople on the MoveProvider Contracting

Value-Based Care

Empire Blue, Mount Kisko Launch Enhanced Personal Health Care Program
Empire press release, April 14, 2015
The Mount Kisco Medical Group and Anthem Inc. unit Empire BlueCross BlueShield are collaborating through Empire’s Enhanced Personal Health Care Program.

-back to top-

Health Insurance Exchange Database: 2015 Plans and Premiums

Health Plan Business

United Beats Street on 1Q Results
Investor’s Business Daily, April 16, 2015
UnitedHealth Group reported earnings of $1.46 per share, well above projections of $1.35 per share.

Baystate Prez Warns of Regulation’s Effects
MassLive, April 14, 2015
The president of Baystate Health, which owns HMO Health New England, said actuarial risk regulation could force it off the state’s health exchange.

Major Insurers Lament ‘Angelina Effect’
Yahoo! Finance, April 14, 2015
Major insurers like Aetna Inc., Cigna Corp., and Anthem do not cover the latest version of genetic testing that Angelina Jolie famously underwent, saying the science is unproven.

Independence, CareCam Offer Chronic Disease Apps
Diabetes News Journal, April 14, 2015
Independence Blue Cross, a unit of Independence Health Group, said it will offer CareCam Health Systems’ diabetes and asthma apps to its members.

Anthem Enters Apple Watch Market
Business Wire, April 13, 2015
Anthem launched a new Apple Watch app in collaboration with CareEvolution to connect families via health and wellness alerts.

Ariz. Blues Launches Private Exchange
Phoenix Business Journal, April 13, 2015
Blue Cross Blue Shield of Arizona is launching a private exchange with the help of Array Health.

BCBSM, Independence Spin Off Medicaid Plan
Crain’s Detroit Business, April 12, 2015
Blue Cross Blue Shield of Michigan is spinning off its Medicaid plan, Blue Care Complete, with Independence Health Group.

Aetna Helps Launch Transparency Initiative
Clear Choices press release, April 9, 2015
The Clear Choices Campaign, which counts Aetna among its participants and which is aimed at improving health care transparency laws, launched on Capitol Hill April 9.

Mass. Blues Launches Pregnancy App
Boston Business Journal, April 9, 2015
Blue Cross Blue Shield of Massachusetts is now offering fertility and pregnancy app Ovuline to its members.

-back to top-

Save $50 on Upcoming Webinars

People on the Move

Calif. Anthem President Resigns
Los Angeles Times, April 14, 2015
The president of Anthem Blue Cross and Blue Shield in California is leaving the company April 24.

Tenn. Blues Names Community Relations Director
BCBST press release, April 14, 2015
BlueCross BlueShield of Tennessee promoted Dawn Weber to director of community relations and foundations.

Anthem Board Member Dies in Plane Crash
Anthem press release, April 11, 2015
Anthem board member John Short was killed in an aircraft accident in western Idaho.

-back to top-

From the AIS Blogs

There are some interesting but not necessarily surprising statistics in Prime Therapeutics’ new trend report, which examines the first full year of prescription drug data on enrollees in health insurance exchanges, and compares their pharmacy benefit utilization and cost trends with those of its commercially insured population. Join the conversation at the AIS Blogs.

Provider Contracting

Optum, Mayo Clinic Announce Tech Partnership
Optum press release, April 14, 2015
Optum360, a unit of UnitedHealth Group and Dignity Health, and Mayo Clinic will work together to streamline the billing process and make the revenue cycle more transparent to consumers.

BCBSNC, Novant Offer Bundled Knee Replacements
The Charlotte Observer, April 10, 2015
Blue Cross and Blue Shield of North Carolina and Novant Health are offering bundled payment plans for knee replacement patients.

UPMC Threatens Highmark’s MA Members
TribLIVE, April 8, 2015
The University of Pittsburgh Medical Center (UPMC) is threatening to cut Highmark Health’s Medicare Advantage members if the insurer doesn’t increase its cancer payments.

-back to top-

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



Have breaking news or an editorial question? Email Executive Editor Jill Brown at If you are interested in advertising in SPOTLIGHT ON HEALTH INSURERS please contact Bailey Sterrett at

SPOTLIGHT ON HEALTH INSURERS is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm, where you can also sign up for AIS's Health Business Daily and AIS's Goverment News of the Week.

Copyright © 2015 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any website, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to