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
From The AIS Report on Blue Cross and Blue Shield Plans - At a Nov. 15 hearing in Los Angeles Superior Court, a judge denied a temporary restraining order that would have prevented Anthem, Inc.’s California subsidiary from moving some of its individual PPO members into exclusive provider organization (EPO) plans, which don’t include coverage for out-of-network services. The judge, however, did acknowledge that Anthem Blue Cross violated federal law when it discontinued 2016 PPO policies and replaced them with EPO products… Read more
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