Health Reform
Premera Sees Global Outcomes Contracts As ‘Bridge’ To Completely New SystemFrom ACO Business News - Premera Blue Cross is pushing forward with accountable care through a global outcomes contracting program that’s conceptually similar to the Medicare Shared Savings Program (MSSP), a top health plan official says. The program now covers nearly 7% of the Blues plan’s membership, and the plan is seeking opportunities to expand it, says John Partin, a director on Premera’s health care delivery systems team. Read more
Feds, States, Plans Start Early Campaigns Promoting Exchanges (Chart: Agent/Broker Marketplace Pathway for Assisting Consumers)From AIS's Health Reform Week - While the big marketing push is expected later this summer, some states and private insurers, along with the federal government, already are launching consumer-awareness campaigns to promote the insurance exchanges that start in October. Colorado and a multistate Blues operator are among the players getting an early jump on finding and encouraging millions of uninsured individuals to seek coverage. Read more
Some State Exchanges Are Now Sifting Through Carrier ApplicationsFrom Inside Health Insurance Exchanges - May 3 was the application deadline for submitting applications to sell coverage through federally facilitated exchanges. A CMS spokesperson declined to tell HEX how carriers have people applied. Late last month, Gary Cohen, director of the Center for Consumer Information and Insurance Oversight (CCIIO), estimated that 140 carriers had started the application process, according to a Politico blog. It’s unclear how CCIIO is counting those applicants. Read more
On the Health Reform Bookshelf
Health Reform Blog
By Steve Davis - June 14, 2013
On June 13, I moderated a panel discussion on health insurance exchanges at the Gorman Health Group’s annual forum outside of Washington, D.C. During that session, Rebecca Pearce, executive director of the Maryland Health Benefit Exchange, confirmed the existence of the Federal Data Services Hub —...
By Neal Learner - June 4, 2013
Pharmaceutical formularies on the insurance exchanges next year are expected to offer consumers a relatively generous choice of medications. But those drug lists likely will become more restrictive, and consumers could be required to fill their prescriptions through a limited pharmacy network, in...
By Steve Davis - May 30, 2013
This week I’m attending the Marketing, Outreach & Distribution on the Health Insurance Exchanges conference in Scottsdale, Ariz. The most intriguing session — maybe the most interesting of any recent conference I’ve attended — was a May 30 panel of 20-something men and women who spoke candidly...
It's quick and easy to sign up for FREE access to AISHealth.com!
Featured Health Reform Products
Resources for Paid Subscribers
- ACO Business News
- AIS's Health Reform Week
- The AIS Report on Blue Cross and Blue Shield Plans
- Drug Benefit News
- Health Plan Week
- Inside Health Insurance Exchanges
- Medicare Advantage News
- Report on Medicare Compliance
- Report on Patient Privacy
- Specialty Pharmacy News
Not a Paid Subscriber?
Check out all of the benefits, sample issues & more!
Customer Service
Atlantic Information Services, Inc. - 1100 17th Street NW, Suite 300, Washington, DC 20036 - 800-521-4323
Copyright © 2013 Atlantic Information Services, Inc. All Rights Reserved.
