Health Plan Business

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

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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