Health Plan Business

From Health Plan Week - Blues operator Highmark Inc. and the University of Pittsburgh Medical Center (UPMC) may have signed a consent decree covering the transition period that follows the end of the pair’s provider contract at the close of 2014, but Pennsylvania consultants say there are outstanding issues like how much to reimburse for emergency room rates that have to be resolved to avoid problems for consumers in 2015. Read more

From Health Plan Week - Venture capital is flowing into the digital health space at rates that by midyear 2014 had already eclipsed what was seen for all of last year, according to new industry data. That leaves health insurers to consider investments in or outright acquisitions of a bevy of software developers, wearable device makers and behavioral health tool creators. Sifting through the suddenly crowded digital health startup market has become an important part… Read more

Health Plan Business Blog

By Jill Brown - October 1, 2014
Today Baylor Scott & White Health celebrated its first anniversary after merging in fall 2013 by reporting quality and financial results of its accountable care organization (ACO), which it said helped to validate its claim that “the merger would create tangible benefits.” The Dallas-based...
By Jill Brown - September 12, 2014
In an effort to avoid preventable hospitalizations, one accountable care organization is working to find patients among its Medicare Shared Savings Program (MSSP) population who are not very engaged with their physicians. To help in that search, Jacksonville, Fla.-based Orange Accountable Care has...
By Patrick Connole - September 5, 2014
Health insurers are no longer foreigners to the mostly West Coast-based hotbeds of high-tech venture funding, what with UnitedHealth Group and Blue Shield of California being active partners in seed-money incubator Rock Health in San Francisco and Blues plans possessing their own funding sources,...

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