Health Plan Business

From Health Plan Week - Starwood Hotels & Resorts Worldwide Inc.’s recent announcement it would shift 26,000 U.S. staff and their dependents to Towers Watson & Co.’s One Exchange demonstrates private health insurance exchanges’ continuing success at attracting employers with the promise of cost savings and more choice for employee benefit decision-making. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - A former vice president of Blue Shield of California on April 6 filed a wrongful termination lawsuit against the carrier, claiming he was retaliated against for blowing the whistle on a questionable vendor contract sought by his superior and firing him one day before he was due a $450,000 performance bonus. Read more

Health Plan Business Blog

By Patrick Connole - April 14, 2015
When health insurance mega-major UnitedHealth Group recently said it would acquire independent pharmacy benefit manager Catamaran Corp. for a little under $13 billion, it set the stage for a test of which business model in the PBM space will win out, or if different strategies can survive in the...
By Jill Brown - April 7, 2015
Cesarean births have risen by more than 50% over the last 10 years, despite growing efforts to curtail use of the procedure. But a California bundled payment pilot involving four hospitals and two insurers showed rapid improvement. “The big question is: Can you take a hospital with a high C-...
By Patrick Connole - April 6, 2015
The wave of health plan creation from the provider side of the sector has made headlines as it becomes apparent that the evolution of the marketplace attracts new players and new models of issuers. One such venture built from the ground up by North Shore-Long Island Jewish (LIJ) Health System in...

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