Health Plan Business

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

Health Plan Business Blog

By Steve Davis - January 29, 2016
I’ve been writing about Health Savings Accounts (HSAs) since the provision was added to the Medicare reform legislation signed by President George W. Bush in late 2003. After more than a dozen years covering HSAs — and explaining the financial benefits to my readers — my wife and I decided to take...
By Patrick Connole - January 11, 2016
Health plan industry watchers are all over the business media opining on the significance of Aetna Inc.’s decision not to renew its membership with industry trade association America’s Health Insurance Plans (AHIP) for 2016. Some say the move falls in line with the same type of decision made by...
By Steve Davis - January 4, 2016
2016 will likely go down as the year of the mega-merger. Aetna Inc. is poised to acquire Humana Inc. Anthem, Inc. intends to take over Cigna Corp., and Health Net, Inc. may become part of Centene Corp. The newly merged Goliaths will have unprecedented scale, which will allow them to dramatically...

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