Health Plan Business

From Health Plan Week - Recent results from a UnitedHealthcare oncology-focused bundling pilot have caught the attention of the health insurance industry by demonstrating that the model saves money for more than just procedural care, like knee replacements. Read more

From Health Plan Week - Health insurers and PBMs are stepping up efforts to detect and stop the diversion and abuse of opioid pain medications like Endo Pharmaceutical Inc.’s Percocet and Purdue Pharma LP’s OxyContin through sophisticated and multi-layered analysis of claims data and monitoring. 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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