Health Plan Business

From Health Plan Week - Anthem, Inc.’s new Innovation Studio in Atlanta is a vital part of a six-part process to turn fresh and original ideas into leading-edge products and services, the executive in charge of the project tells HPW. Read more

From Health Plan Week - Amid warnings from top U.S. health officials that the unofficial start of the mosquito season this Memorial Day could usher in the rapid spread of the incurable mosquito-born Zika virus, health insurers and industry watchers are assessing what impact a Zika epidemic could have on member health and utilization rates. Read more

Health Plan Business Blog

By Patrick Connole - June 6, 2016
If you were in charge of a U.S. health insurer, what issue would make you lose sleep as you peer ahead to the rest of 2016 and into next year? When a pair of consultants and a noted lawyer were asked that question, they produced a list of challenges for health insurers that amounted to a virtual...
By Patrick Connole - May 31, 2016
When the Missouri insurance regulator came out on May 24 with a preliminary finding declaring its opposition to the pending Aetna Inc. acquisition of Humana Inc., industry watchers and stakeholders immediately took to form and either said (1) this spells doom for the deal’s overall approval, or (2...
By Steve Davis - April 28, 2016
CMS is considering several tweaks to its risk-adjustment program established by the Affordable Care Act (ACA) including a high-risk pool, partial-year enrollments and the inclusion of prescription drug claims as predictors of diagnoses or severity of illness. On April 11, I moderated a well-...

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