From Health Plan Week - Highmark Health in Pittsburgh has designed an innovation program called VITAL that will act as a test bed to increase use of FDA-approved medical devices and treatments. These technologies may already be deployed in a patient population but are not yet covered by most commercial plans. VITAL bridges the gap by piloting these ideas and bringing about swifter reimbursement decisions on their use by using both the provider and insurer sides of the integrated health care company, Highmark says. Read more
From Health Plan Week - Three months before the third open-enrollment season commences for Affordable Care Act (ACA) exchanges, health insurers are prepping strategies to sell coverage for returning and potential enrollees in the individual market. Along with government-sponsored Medicare and Medicaid programs, the ACA exchanges are a potentially huge growth segment for insurers even if many carriers are still trying to figure out how to price plans and lure younger, healthier lives to their… Read more
From The AIS Report on Blue Cross and Blue Shield Plans - Technology firm Noridian Healthcare Solutions, a subsidiary of Blue Cross Blue Shield of North Dakota (BCBSND), agreed to reimburse Maryland $45 million for its role in the state’s failed insurance exchange. The payout isn’t expected to impact premium rates for products sold by the insurer, which has about 448,000 enrollees, according to data gathered by AIS. Neither the state nor Noridian accepted liability in the settlement. Noridian was the main contractor… Read more
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