Health Plan Business

From Health Plan Week - The trend of health insurers evolving into retail-facing companies took a twist on Nov. 17 when Kaiser Permanente said it would open in-store clinics in four Southern California Target Corp. locations. Officials with Kaiser and market consultants say what is new with this latest development is how the Kaiser-Target arrangement may affect not just the two parties and their members-customers, but also the wider health plan marketplace. The growth of in-store clinics is partly driven by the nationwide shortage of primary care doctors, which should be exacerbated by the millions of newly insured resulting from the health reform law and its… Read more

From Health Plan Week - New investment advisory firm Guidon Partners GP, LLC boasts a 14-partner, Expendables-style cast of current and former all-star health care and financial services executives who have ponied up their own money to help to seed and/or guide growth companies in the payer, provider and health IT sectors. Beyond money, Guidon, which is pronounced Guide-On, based in Reston, Va., outside of Washington, D.C., will offer expertise to firms and work alongside… Read more

Health Plan Business Blog

By Jill Brown - December 17, 2014
Engaging your physicians while educating them on the legal and regulatory details of developing an accountable care organization will take significant resources, warn two attorneys who were deeply involved in crafting a five-year commercial ACO agreement between Hawaii Pacific Health and Hawaii...
By Steve Davis - December 5, 2014
In June, three years will have passed since the Supreme Court ruled that the Affordable Care Act (ACA) went too far by withholding all Medicaid funding from states that don’t expand program eligibility to adults with annual incomes up to 133% of the federal poverty level. Since that decision, just...
By Jill Brown - December 2, 2014
CMS on Dec. 1 issued proposed regs for the Medicare Shared Savings Program (MSSP) that would slow down providers’ transition to two-sided risk and create a new “Track 3” alongside one-sided risk (Track 1) and two-sided risk (Track 2). The proposal met with mixed reviews from an ACO group. Most...

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