Health Plan Business

From Health Plan Week - Some health plans are going all out to flip the script on how they use data analytics to improve care management, which in turn could reduce costs and improve the coordination and medical status of their members, many of them in the high-risk, high-cost category. Innovators in this area include CareSource and Aetna Inc., among others, which have pushed ahead with new programs to identify and reach their customers. Read more

From Health Plan Week - Executives from Boeing Co. and Providence-Swedish Health Alliance, one of Boeing’s two provider partners in a nascent direct-to-employee accountable care organization (ACO) in Washington state’s Puget Sound region, told an AIS webinar audience on May 21 that the three-year process to get the new offering operational was a lot of work, but worth it. Read more

Health Plan Business Blog

By Steve Davis - June 30, 2015
Just in case you missed it … the Supreme Court on June 25 determined federal premium subsidies are available in all states, whether through a state-based exchange (SBE) or via the federally operated HealthCare.gov. With federal subsidies secure, governors in Pennsylvania and Delaware quickly...
By Patrick Connole - June 16, 2015
Mere days from now the Supreme Court will set off a tempest in the health insurance world if it decides against the Obama administration and stops tax subsidy payments for enrollees on federally facilitated exchanges (FFEs) in the King v. Burwell case. The plaintiffs in the case say the Affordable...
By Patrick Connole - June 15, 2015
Cigna Corp. points to its extensive use of health risk assessments as an important starting point for how it conducts population health management programs and links the use of the tool as key to making the insurer one of the industry leaders in controlling medical costs. Since 2008, more than 3...

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