Health Plan Business

From Health Plan Week - Industry sources tell HPW that UnitedHealth Group is on the verge of buying Helios, a privately owned provider of workers’ compensation and PBM services to large health insurers and third-party administrators (TPAs), handling more than 7 million prescriptions per year. While the reported price tag of $1.6 billion to $1.7 billion raised a few eyebrows, sources say the logic of such a move, if it comes to pass, makes sense considering UnitedHealth’s laser-like focus on growing its Optum unit to even greater heights. Read more

From Health Plan Week - Health plan brokers anticipate a busy start to Affordable Care Act (ACA) exchange open enrollment on Nov. 1. But they prepare with some angst amid concerns about commission cuts by certain plans in specific locales and sticker shock as consumers face higher premiums to help insurers keep pace with the costs of exchange business. Read more

Health Plan Business Blog

By Jill Brown - November 6, 2015
Condition-specific health plans have long been a staple of the indemnity world, with insurers like Cigna Corp. offering supplemental cancer policies that offer lump sum cash benefits. Over the past decade, Medicare Advantage plans have offered Special Needs Plans for specific chronic conditions,...
By Steve Davis - November 5, 2015
With the third open-enrollment period for public health insurance exchanges underway, news reports have focused on rate hikes for coverage. Nationally, monthly premiums for the second lowest-cost silver-tier plans sold on federally run exchanges are up an average of 7.5%. In some states, such as...
By Steve Davis - September 15, 2015
“No, no, no. He’ll just put me on one of those damn Obamacare plans!” That was my 86-year-old mother’s response when my brother suggested I help her choose a new Medicare supplemental policy. Early this year, my father’s former employer notified its retirees (and their spouses) that it would stop...

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