Health Plan Business

From The AIS Report on Blue Cross and Blue Shield Plans - Blues plans have been slow to move into the Medicare Advantage (MA) space and they remain relatively small players compared with publicly traded carriers such as UnitedHealth Group and Humana Inc. But a growing acceptance of MA coverage among younger seniors and stable pricing mean there continues to be a growth opportunity for Blues plans. Blue Cross and Blue Shield of Kansas City on Sept. 23 said it would make two MA HMO options available in nine counties in Kansas and Missouri this year. Read more

From Health Plan Week - Some health plans are expanding their “gamification” strategies into more mobile applications and condition-specific designs as early successes in getting members active in their health management seem to be paying dividends. According to Arrianne Hoyland, game producer for UnitedHealth Group, her carrier is collaborating with digital platform Rally Health, Inc. to incent plan members to share personal health information in a game setting to produce better behaviors. Read more

Health Plan Business Blog

By Steve Davis - September 15, 2015
“No, no, no. He’ll just put me on one of those damn Obamacare plans!” That was my 86-year-old mother’s response when my brother suggested I help her choose a new Medicare supplemental policy. Early this year, my father’s former employer notified its retirees (and their spouses) that it would stop...
By Steve Davis - August 28, 2015
On Aug. 26, the Nevada Health CO-OP became the third Community Operated and Oriented Plan to end operations this year. There are 21 CO-OPs left, and I expect state regulators will announce a few more casualties well before open enrollment begins in November. The surviving CO-OPs will have an uphill...
By Steve Davis - August 4, 2015
It might not disappear entirely, but the small-group market is changing due, in large part, to the Affordable Care Act (ACA). To help retain clients, some health insurers have launched administrative services only (ASO) products designed for increasingly smaller employers. Not long ago, few...

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