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May 2, 2016

Recent Stories

From Health Plan Week - CMS’s final rule (CMS-2390-F) released on April 25 to modernize managed Medicaid programs in the states by instituting new requirements, like minimum network size and quality ratings, updates out-of-date regulations and puts more of a burden on insurers — but it should not dampen expansion in the segment, industry consultants say. Many Medicaid-focused insurers are doing quite well, evidenced by the April 26 first-quarter 2016 results of Centene Corp., which bested Wall Street predictions by maintaining low medical loss ratios (MLRs) and doing something industry giant UnitedHealth Group has not achieved to date: succeeding on Affordable Care Act (ACA) exchanges (HPW 4/25/16, p. 1). Read more

Community insurers are gaining ground in value-based care by offering a diverse… Read more

UnitedHealth Group on April 19 confirmed the expected when it told investors… Read more

Exclusive Provider Organizations (EPOs) are increasingly being weighed as an option for… Read more

From the Editor

Welcome to your Health Plan Week subscriber-only Web page

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

Please e-mail me with your comments on the last issue of Health Plan Week, 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 29, 2016
Molina Misses on Q1 Guidance

Molina's first quarter earnings came in below expectations with a net income per diluted share of 43 cents.

April 28, 2016
Covered Calif. Adds Second Vision Option for Members

EyeMed is joining VSP Vision Care in offering insurance plans on the Covered California exchange.

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