Health Plan Business

From The AIS Report on Blue Cross and Blue Shield Plans - A lawsuit over whether health insurance carriers’ provider networks were adequate has screeched to a halt following accusations of impropriety within the Washington State Office of the Insurance Commissioner, headed by Mike Kreidler (D). One of the insurers, Premera Blue Cross, subsequently filed a motion to vacate all of Administrative Law Judge Patricia Petersen’s decisions, which could result in Seattle Children’s Hospital starting all over again in its case (Washington State Office of the Insurance Commissioner, Hearings Unit, Docket No. 13-0293). Read more

From The AIS Report on Blue Cross and Blue Shield Plans - As the long-running contractual debate between Highmark Inc. and the University of Pittsburgh Medical Center (UPMC) drags on, Pennsylvania Gov. Tom Corbett (R) has taken an active role in the dispute. On June 2, Corbett’s office unveiled its “Patients First” Leadership Team, and the governor said that the state’s insurance commissioner, Mike Consedine, and the secretary of the Department of Health, Michael Wolf, would meet with the two companies in order… Read more

Health Plan Business Blog

By Jill Brown - June 30, 2014
Is the U.S. Supreme Court’s decision this morning in Burwell v. Hobby Lobby Stores, Inc. the “first step toward repeal” of the Affordable Care Act (ACA), as St. Paul, Minn.-based Citizens’ Council for Health Freedom (CCHF) says? Probably not. The Supreme Court found in a 5-4 decision that closely...
By Angela Maas - June 20, 2014
My doctor lied to me. In December, during my annual exam, my primary care provider noticed that my thyroid was swollen. Immediately I assumed the worst. “Could it be cancer?” I asked. “No,” she said firmly, without hesitation. It was that response that helped keep my attitude positive as I went...
By Patrick Connole - June 14, 2014
Consumerism and the shift to retail-centric business practices were a main theme of the annual America's Health Insurance Plans (AHIP) conference in Seattle from June 11-13. Figuring out how to evolve to be a relevant player in the new markets, namely private and public exchanges, is not going to...

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