From Health Plan Week - In its third-quarter 2016 earnings report, Centene Corp. on Oct. 25 outlined how it will integrate Health Net into its operations next year and limit a previously discussed premium deficiency reserve (PDR) of $300 million to fix a series of pre-existing issues for its $6 billion acquisition (HPW 7/13/15, p. 3). A few days later on Oct. 27, Aetna said its third quarter beat Wall Street expectations as Medicaid and Medicare Advantage (MA) enrollment grew by nearly 10% each on a year-over-year basis, with costs in line as well. Read more
From Health Plan Week - Moffitt Cancer Care in Tampa, Fla., and UnitedHealthcare on Oct. 17 said they have launched a three-year pilot program to test a new bundled payment model for early-stage lung cancer. The effort continues the health plan’s move into value-based care and will be a proving ground in the area of lung cancer for both the provider and payer as focused bundles are increasingly seen as a way to circumvent traditional… Read more
From The AIS Report on Blue Cross and Blue Shield Plans - When the open-enrollment period begins Nov. 1, people who search for coverage via HealthCare.gov will see a new option — standardized “Simple Choice” plans. Many Blues plans contacted by The AIS Report say they’re not offering such plans on the public exchanges. Moreover, in comments to CMS, Blues plan operator Anthem, Inc., the Blue Cross and Blue Shield Association and the trade group America’s Health Insurance Plans (AHIP) voiced their… Read more
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