Health Plan Business

From The AIS Report on Blue Cross and Blue Shield Plans - Just as Blue Cross and Blue Shield plans are continuing to invest in value-based care models, they also are wrapping insurance products around networks built on the foundations of these programs. “Consumers and health providers alike understand that as health care costs continue to grow, programs that deliver on the triple aim represent the best way to ensure that we can provide high quality coverage at an affordable cost,” Horizon Blue Cross Blue Shield of New Jersey Chairman, President and CEO Bob Marino tells The AIS Report. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - Blue Cross and Blue Shield plans will continue to invest in value-based care programs in 2017, as results start to show the initiatives’ potential to slow cost increases and improve quality. That’s despite vows from President-elect Donald Trump and the newly elected Republican Congress to repeal and replace the Affordable Care Act, which helped spur these initiatives. “Expanding our value-based care platform and population health efforts will be our primary focus… Read more

Health Plan Business Blog

By Steve Davis - January 23, 2017
On Dec. 31, I ended my first year with a health savings account (HSA). While my premiums plummeted when I switched from an HMO to a high-deductible health plan (HDHP), nearly all of that premium savings was used for unexpected medical expenses, including back-to-back ER visits for my overly active...
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...

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