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

September 25, 2014

This week's topics: Accountable Care OrganizationsExchangesHealth Plan BusinessProvider ContractingPerson on the Move

Accountable Care Organizations

Advocate Health Care and Illinois Health Partners Join Forces in UnitedHealthcare ACO
UHC Press Release, Sept. 24, 2014
Advocate Health Care and Illinois Health Partners are teaming up with UnitedHealthcare in an ACO that will serve UHC’s Medicare Advantage beneficiaries in Illinois.

Cigna Enlists Virginia Physician Networks to ACO Initiative
Cigna Press Release, Sept. 23, 2014
Virginia Quality Care Partners is joining Cigna’s Collaborative Care program, which benefits 1.4 million members around the country.

Highmark’s Physician Program Enlists 850 Medical Practices
Pittsburgh Business Times, Sept. 22, 2014
Highmark has enlisted 850 medical practices representing 4,000 doctors in its physician rewards program, aiming to have 75% of all practices in its coverage area enrolled by 2016.

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Health Plan Facts,Trends and Data 2014-2015


Molina Plans to Reduce Wisconsin ACA Exchange Premiums by 11%
Milwaukee Business Journal, Sept. 24, 2014
Molina Healthcare Inc. is reducing Wisconsin insurance exchange premiums by 11%, saying it believes enrollees are healthier than they first thought.

State Farm to Sell Blue Cross Blue Shield Plans for ACA Open Enrollment
HCSC Press Release, Sept. 23, 2014
State Farm agents will be able to sell Health Care Service Corp. Blue Cross Blue Shield insurance plans for the federal health program’s open enrollment, offering plans in Illinois, Montana, New Mexico, Oklahoma and Texas.

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Inside Health Insurance Exchanges

Health Plan Business

Aetna International & Starr Companies Launch UltraCare Health Plan Enabling Expatriates and Chinese Nationals to Benefit from Global Health Coverage
Aetna Press Release, Sept. 24, 2014
Aetna and Starr Property & Casualty Insurance (China) Company, Limited (Starr China) launched the redesigned UltraCare, product line for Chinese nationals and expatriates based in China access health care.

Cigna and HSA Bank Team Up to Deliver an Exceptional Consumer-Directed Health Care Experience
Cigna Press Release, Sept. 23, 2014
Cigna is teaming with HSA Bank to administer health savings accounts. The accounts had been administered by JPMorgan Chase Bank, N.A., which has agreed to sell its HSA administration business to HSA Bank for an undisclosed amount.

Rockdale Co., GA, Approves Cigna Contract, Bringing Steep Premium Increases
Rockdale County Citizen, Sept. 23, 2014
Commissioners of Rockdale County, Ga., voted to approve a contract with Cigna that will increase employee premiums by an average of 21.7%.

Erie Insurance Drops Highmark for UnitedHealthcare
Pittsburgh Business Times, Sept. 22, 2014
Erie Insurance is switching its 4,600 employees to UnitedHealthcare effective Jan. 1, dropping previous insurer Highmark over unease about Highmark’s ongoing dispute with University of Pittsburgh Medical Center.

Humana Opens Medicare Advantage Guidance Center in Raleigh, N.C.
Triangle Business Journal, Sept. 22, 2014
Humana Inc. opened a center in Raleigh, N.C., geared toward guiding MA beneficiaries through health care decisions, as well as recruiting new customers.

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From the AIS Blogs

In an effort to avoid preventable hospitalizations, one accountable care organization has turned to data mining to find patients among its MSSP population who are not very engaged with their physicians. What do you think? Where is your No. 1 opportunity to reduce preventable admissions? Join the conversation at the AIS Blogs.

Provider Contracting

Anthem Blue Cross Blue Shield Excludes Major Hospital Chain From 2015 Insurance Exchange
St. Louis Post-Dispatch, Sept. 23, 2014
Anthem Blue Cross Blue Shield was unable to reach an agreement with BJC HealthCare, which owns 12 hospitals in the St. Louis area, in time to include the health system in its exchange for 2015.

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The AIS Guide to Blue Cross and Blue Shield Plans: 2014

Person on the Move

BCBS of Tenn. Appoints New Treasurer
The Chattanoogan, Sept. 23, 2014
BlueCross BlueShield of Tennessee appointed Ralph Woodard treasurer and chief risk officer. He previously served as controller and chief accounting officer.

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