Health Plan Business

From Health Plan Week - In what is shaping up as a repeat from 2014, officials from Independence Blue Cross in Philadelphia say even before final tallies are in, it is clear the insurer’s tiered network offerings in the individual markets, on and off exchange, are the most popular plans from among their coverage options for 2015. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - In the ongoing dispute over data security in the health care sector, electronic health records (EHRs) have largely claimed the spotlight as hackers — both foreign and domestic — continue to troll for weak links in American cyberspace. But staff mistakes and old-fashioned thefts still account for the majority of breaches in both paper and digital format, a topic that has somewhat slipped from the conversation as privacy advocates focus instead… Read more

Health Plan Business Blog

By Patrick Connole - February 19, 2015
The Supreme Court by the end of June is expected to tell the world if federal health insurance exchanges under the Affordable Care Act (ACA) can include subsidy payments to enrollees, deciphering whether a seeming oversight in the law’s language is enough to scuttle coverage for potentially...
By Jill Brown - February 3, 2015
Many accountable care organizations (ACOs) have spent the last few years fine-tuning systems to take financial and organizational responsibility for care for a group of patients, sharing in gains if the medical care they provide costs less and is of higher quality compared with a historical...
By Jill Brown - January 27, 2015
HackensackAlliance, a New Jersey accountable care organization participating in the Medicare Shared Savings Program (MSSP), spoke at a recent Premier, Inc.-sponsored webinar to outline how it earned shared savings of $5.27 million in the first program year. The ACO discussed a variety of...

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