From The AIS Report on Blue Cross and Blue Shield Plans - Blues plans have been slow to move into the Medicare Advantage (MA) space and they remain relatively small players compared with publicly traded carriers such as UnitedHealth Group and Humana Inc. But a growing acceptance of MA coverage among younger seniors and stable pricing mean there continues to be a growth opportunity for Blues plans. Blue Cross and Blue Shield of Kansas City on Sept. 23 said it would make two MA HMO options available in nine counties in Kansas and Missouri this year. Read more
From Health Plan Week - Some health plans are expanding their “gamification” strategies into more mobile applications and condition-specific designs as early successes in getting members active in their health management seem to be paying dividends. According to Arrianne Hoyland, game producer for UnitedHealth Group, her carrier is collaborating with digital platform Rally Health, Inc. to incent plan members to share personal health information in a game setting to produce better behaviors. Read more
From Health Plan Week - Three percent of roughly 4,800 Denver Health patients accounted for 30% of expenses over a three-year period, according to a study the health system published in the August issue of Health Affairs. That statistic won’t come as a surprise to anyone in the industry, since most, if not all, studies find similar results, but it’s the reason payers and providers continue looking for ways to target and prevent these “super-utilizers”… Read more
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