Health Plan Business

From The AIS Report on Blue Cross and Blue Shield Plans - As national health insurers pull up stakes and walk away from the public exchanges, two Blues plans have decided to join them. Blues plans that remain in the exchanges could continue to lose money in the year ahead, but industry observers expect the market will begin to stabilize in 2017. Read more

From Health Plan Week - Action heated up in the pre-trial proceedings for the Dept. of Justice’s (DOJ) lawsuits against Aetna Inc.’s proposed purchase of Humana Inc. (U.S. v. Aetna, Case No. 1:16-cv-01494) and the seemingly more contentious Anthem, Inc. bid for Cigna Corp. (U.S. v. Anthem, Case 1:16-cv-01493). Amid maneuvering by the DOJ and the insurers, and the government dropping one of the four pillars of its objections to the Anthem-Cigna deal, industry observers… Read more

Health Plan Business Blog

By Patrick Connole - October 18, 2016
Amid media attention on the concerns of high-deductible health plan (HDHP) members that they pay full freight for their prescriptions while the health plan or employer sponsor (in a self-insured model) receives rebates on these same drugs, consultants in the field explain that the nuances of the...
By Patrick Connole - June 6, 2016
If you were in charge of a U.S. health insurer, what issue would make you lose sleep as you peer ahead to the rest of 2016 and into next year? When a pair of consultants and a noted lawyer were asked that question, they produced a list of challenges for health insurers that amounted to a virtual...
By Patrick Connole - May 31, 2016
When the Missouri insurance regulator came out on May 24 with a preliminary finding declaring its opposition to the pending Aetna Inc. acquisition of Humana Inc., industry watchers and stakeholders immediately took to form and either said (1) this spells doom for the deal’s overall approval, or (2...

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