Blues

Blues Plans Try Innovative Strategies to Reduce Individual Rates for 2019

December 3, 2018

Blue Cross and Blue Shield plans are implementing innovative strategies to keep premiums low on Affordable Care Act (ACA)-compliant individual policies for 2019 as they navigate a changing market that continues to see a poor risk pool and will encounter new competition in the form of short-term policies over the coming months.

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Value-Based Care Gains Steam as Blues Report Promising Results

December 3, 2018

Blues plans in New Jersey and Arizona are reporting good results from their value-based care programs, while plans in Idaho and Massachusetts are launching initiatives designed to move provider payments even further away from fee-for-service.

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Top 10 Blue Cross and Blue Shield Plans in the Individual Market

December 3, 2018

by Carina Belles

Blue Cross and Blue Shield plans insure about 44% of the nationwide individual commercial market, with more than 6.6 million members. Florida Blue is the Blues’ market leader, and No. 2 to Centene Corp. in the overall rankings, serving 71.5% of all individual lives in Florida alone. In 2018, both Florida Blue and Blue Shield of California surpassed previous market heavyweight Anthem, Inc., which left four state Affordable Care Act exchange markets at the end of 2017, losing about 1.2 million individual enrollees since then. Anthem seems to be walking back on this move, as it will return to statewide exchange markets in Ohio and Virginia in 2019. Investment in the exchange marketplaces continues to drive growth in this sector, though overall enrollment is still down from 2017. The top 10 Blues plans in the individual market, listed below, currently enroll about 76% of Blues exchange members, and 34% of all exchange lives.

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Blues Face Challenging MA-PD Market, Gain in Star Ratings

November 5, 2018

Blue Cross and Blue Shield-affiliated Medicare Advantage (MA) plans may find it difficult to win additional members for 2019 as new national and provider-owned plans jump into markets and more people select to stick with their current insurer.

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New FEP Blue Focus Plan Ups Copays to Keep Cost Down

November 5, 2018

The Blue Cross and Blue Shield Federal Employee Program (FEP) is adding a new coverage option for 2019 featuring premiums that are nearly 30% lower than other FEP health plans. The new plan, called FEP Blue Focus, will be the cheapest national plan in the Federal Employees Health Benefits Program (FEHBP) for 2019. To get […]

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Infographic: 2019 Star Rating Performance for Blue Cross and Blue Shield Plans

November 5, 2018

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