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  • 12 monthly issues with timely intelligence on Blues plans and their new products, market strategies, alliances and much more, delivered First Class by U.S. Mail and electronically (optional),
  • E-News Alerts whenever important news breaks, and
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March 2015

Recent Stories of Interest

From The AIS Report on Blue Cross and Blue Shield Plans - A pair of legal cases — on opposite sides of the country — target surplus levels held by not-for-profit Blues plan affiliates. Blues plans have long argued that their surplus levels are necessary to protect them from disaster, deep-pocketed for-profit competitors and, more recently, unknown risks associated with the Affordable Care Act (ACA). Critics contend surplus levels have grown too high and could drive competitors out of some markets and prevent new ones from entering. Read more

The nation’s not-for-profit Blue Cross and Blue Shield plans collectively shed close… Read more

2015 Outlook In most states, Blue Cross and Blue Shield plans have a… Read more

Competition from new insurers, a greater focus on health care consumerism and… 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.

February 6, 2015
BCBSTX, Texas Medical Launch New Kind of ACO

Blue Cross and Blue Shield of Texas and Texas Medical Association are forming a statewide ACO-like entity dubbed TMA PracticeEdge.

February 3, 2015
BCBSM Increases Hours in Final Stretch of Open Enrollment

Blue Cross Blue Shield of Michigan is extending its customer service hours until midnight in the final days of exchange open enrollment. http://tinyurl.com/proc6ox

January 27, 2015
Anthem BCBS Eases Benefit Restrictions in CT Following Blizzard

Anthem BCBS revised medical and pharmacy guidelines for Connecticut enrollees affected by the blizzard. Through Feb. 6, the insurer said it is "• Allowing the affected members to see any physician necessary to provide access to care. • Waiving the notification penalty on utilization management (UM) review of in-hospital cases. • Suspending early refill limits for prescriptions. • Allowing replacement of medical equipment or supplies. • Extending filing deadlines for claims." Visit http://tinyurl.com/plrwrp9.

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