Health Plan Business

From Health Plan Week - Blue Cross and Blue Shield of North Carolina, the latest Blues plan to create a proprietary private exchange, is playing both offense and defense in its health insurance delivery strategy — a move market consultants say other regional plans have followed and will continue to follow. The Blues plan on June 20 launched BlueBenefits Center, a single-carrier marketplace for employers with 50 or more employees. A small group option will appear this fall. “It’s offense and defense. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - A lawsuit over whether health insurance carriers’ provider networks were adequate has screeched to a halt following accusations of impropriety within the Washington State Office of the Insurance Commissioner, headed by Mike Kreidler (D). One of the insurers, Premera Blue Cross, subsequently filed a motion to vacate all of Administrative Law Judge Patricia Petersen’s decisions, which could result in Seattle Children’s Hospital starting all over again in its case (Washington… Read more

Health Plan Business Blog

By Patrick Connole - July 28, 2014
In talking to insurers active in the Medicare Advantage (MA) space, the theme for the 2015 plan year is “pressure,” as in the application of pressure on margins from the reduction in government reimbursement. One such carrier, Cigna Corp., spoke about the outlook for next year as it and other...
By Jill Brown - June 30, 2014
Is the U.S. Supreme Court’s decision this morning in Burwell v. Hobby Lobby Stores, Inc. the “first step toward repeal” of the Affordable Care Act (ACA), as St. Paul, Minn.-based Citizens’ Council for Health Freedom (CCHF) says? Probably not. The Supreme Court found in a 5-4 decision that closely...
By Angela Maas - June 20, 2014
My doctor lied to me. In December, during my annual exam, my primary care provider noticed that my thyroid was swollen. Immediately I assumed the worst. “Could it be cancer?” I asked. “No,” she said firmly, without hesitation. It was that response that helped keep my attitude positive as I went...

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