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May 2016

Recent Stories

From The AIS Report on Blue Cross and Blue Shield Plans - UnitedHealth Group’s April 19 announcement that it intends to exit all but “a handful” of public insurance exchanges for 2017 could be an enrollment opportunity for Blues plans, according to equities analysts and ratings firms contacted by The AIS Report. But the continued volatility of the exchange population is causing some Blues plans to take a closer look at their markets. For the 2016 plan year, nearly 800,000 people signed up for a health plan sold by UnitedHealth through an exchange (see table, p. 9). A.M. Best Co. Read more

Since Jan. 1, Medicare has been reimbursing physicians and other providers $86… Read more

Underpriced insurance exchange products, low reimbursement for Medicare Advantage (MA) plans and… Read more

Mia Finkelston, M.D., a primary care physician in rural Maryland, works out… Read more

From the Editor

Welcome to your AIS Report on Blue Cross and Blue Shield Plans subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles and more!

Please email me with comments on the last issue, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

May 2, 2016
Former Horizon Exec Accuses Insurer of Underpaying Claims

A former Horizon Blue Cross Blue Shield of New Jersey executive is alleging the company "knowingly and systematically" underpaid claims.

April 27, 2016
Anthem Tops Analysts Q1 Projections

Anthem beat first quarter earnings estimates thanks to its Medicare Advantage and Medicaid enrollment.

April 25, 2016
McKesson, Ariz. Blues Team in National Value-Based Service Organization

McKesson is partnering with Blue Cross Blue Shield of Arizona in a national value-based service organization joint venture.

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