Health Plan Business

From Health Plan Week - Health insurers are facing a slew of uncertainties as the final components of the Affordable Care Act are implemented in the coming years and the Obama administration exits in 2017. At the America’s Health Insurance Plans’ (AHIP) National Health Policy Conference on March 12 in Washington, D.C., Deloitte LLP analysts Greg Scott and Anne Phelps detailed the five biggest challenges health plans will have to confront through 2018. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - The New York Attorney General’s office said March 18 that it reached a settlement with Rochester, N.Y.-based Excellus Health Plan after an AG investigation determined the Blues plan operator had wrongfully denied treatment requests for mental health and addiction services. Read more

Health Plan Business Blog

By Patrick Connole - April 14, 2015
When health insurance mega-major UnitedHealth Group recently said it would acquire independent pharmacy benefit manager Catamaran Corp. for a little under $13 billion, it set the stage for a test of which business model in the PBM space will win out, or if different strategies can survive in the...
By Jill Brown - April 7, 2015
Cesarean births have risen by more than 50% over the last 10 years, despite growing efforts to curtail use of the procedure. But a California bundled payment pilot involving four hospitals and two insurers showed rapid improvement. “The big question is: Can you take a hospital with a high C-...
By Patrick Connole - April 6, 2015
The wave of health plan creation from the provider side of the sector has made headlines as it becomes apparent that the evolution of the marketplace attracts new players and new models of issuers. One such venture built from the ground up by North Shore-Long Island Jewish (LIJ) Health System in...

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