Health Plan Business

From Health Plan Week - Larry Schreiber, CEO of Wisconsin Collaborative Insurance Company — the new 50-50 joint venture operated by Anthem, Inc. unit Anthem Blue Cross and Blue Shield and Aurora Health Care — tells HPW the company is a lot like Anthem’s Southern California Vivity partnership with providers (HPW 2/9/15, p. 1). But with some twists. Read more

From The AIS Report on Blue Cross and Blue Shield Plans - Since Jan. 1, Medicare has been reimbursing physicians and other providers $86 to discuss end-of-life care with their patients during office visits. Topics include hospice, living wills and do-not-resuscitate orders. In response, several Blues plans have expanded their palliative care coverage to include such conversations. Blue Cross Blue Shield of Massachusetts, for example, already paid medical providers for palliative care services, but in December added payment for behavioral health providers. Read more

Health Plan Business Blog

By Patrick Connole - May 31, 2016
When the Missouri insurance regulator came out on May 24 with a preliminary finding declaring its opposition to the pending Aetna Inc. acquisition of Humana Inc., industry watchers and stakeholders immediately took to form and either said (1) this spells doom for the deal’s overall approval, or (2...
By Steve Davis - April 28, 2016
CMS is considering several tweaks to its risk-adjustment program established by the Affordable Care Act (ACA) including a high-risk pool, partial-year enrollments and the inclusion of prescription drug claims as predictors of diagnoses or severity of illness. On April 11, I moderated a well-...
By Patrick Connole - March 29, 2016
William Giaconia, vice president of healthcare strategy for Automatic Data Processing Inc. (ADP), says easy does it on overanalyzing why private exchange enrollment is not growing as fast as some had predicted just a few years back. After all, he says, ADP’s own ADP Private Exchange, which launched...

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