From The AIS Report on Blue Cross and Blue Shield Plans - Disputes between insurers and parents of children with autism spectrum disorder (ASD) are nothing new, but the argument has morphed over the years as insurers slowly lose the fight to cap treatment coverage. Several Blues plans either are now involved in or recently settled litigation over applied behavioral analysis (ABA) therapy, a treatment that often requires an extensive number of labor-intensive hours. Read more
From Health Plan Week - An earlier version of this story incorrectly said that GNS Healthcare’s software products build care management plans. The software products predict individual risk, causes of risk, and intervention value. It also stated incorrectly that GNS partnered with Aetna and Newtopia in 2012. GNS partnered with Aetna in 2012. Aetna later partnered with Newtopia and published the results in the Journal of Occupational and Environmental Medicine. This version has been corrected. Read more
From Health Plan Week - Private exchanges may see more modest enrollment growth for 2016 because of the two-year delay in the implementation of the excise or Cadillac tax on high-cost health plans from an initial start date of 2018 to the new kickoff in 2020. But private exchange market consultants say the rise in employers interested in switching to a private exchange to deliver health benefits in a defined-contribution mode will march on regardless. Read more
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