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
From Health Plan Week - CMS on May 26 gave the Medicaid managed care industry a jolt when it released a long-awaited set of proposed regulations for health plans operating in the program. The depth and breadth of the new rules will be examined for weeks to come, but the initial impression from a major Medicaid carrier, Wall Street analysts and market consultants is that the guidelines will be positive for business even if new… Read more
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