From Health Plan Week - Recent results from a UnitedHealthcare oncology-focused bundling pilot have caught the attention of the health insurance industry by demonstrating that the model saves money for more than just procedural care, like knee replacements. Read more
From Health Plan Week - Health insurers and PBMs are stepping up efforts to detect and stop the diversion and abuse of opioid pain medications like Endo Pharmaceutical Inc.’s Percocet and Purdue Pharma LP’s OxyContin through sophisticated and multi-layered analysis of claims data and monitoring. Read more
From The AIS Report on Blue Cross and Blue Shield Plans - Accountable care organizations (ACOs) are helping one health plan bring down costs in one of the most expensive geographical areas for health care in the U.S. Independence Blue Cross (IBC) launched its ACO program in 2011, and today it counts “34 hospitals, independent physician associations and other physician organizations” among participants in the Philadelphia region, says Doug Chaet, senior vice president of contracting and provider networks for Independence. Read more
Check out all of the benefits, sample issues & more!