Health Plan Business

From Health Plan Week - Call it a civilized clash of the titans. In a two-person panel at America’s Health Insurance Plans’ (AHIP) annual conference in Austin, Texas, on June 8, representatives of the health insurance and pharmaceutical industries went at it. Eric Schultz, president and CEO of Harvard Pilgrim Health Care, Inc., was cordial but not happy. He told David Ricks, chairman, president and CEO of Eli Lilly and Co., that pharmaceutical companies should reveal how they arrive at their drug prices. Read more

From Health Plan Week - Two years after Anthem Inc., the largest health insurer in the country, announced a breach of personal health information (PHI) affecting nearly 80 million of its beneficiaries, the attorneys for those breached have come to an agreement with the insurer. The settlement is a good reminder that health plans can no longer assume the status quo will work for protecting patient records, attorneys and cybersecurity consultants say. Read more

Health Plan Business Blog

By - January 23, 2017
On Dec. 31, I ended my first year with a health savings account (HSA). While my premiums plummeted when I switched from an HMO to a high-deductible health plan (HDHP), nearly all of that premium savings was used for unexpected medical expenses, including back-to-back ER visits for my overly active...
By - October 18, 2016
Amid media attention on the concerns of high-deductible health plan (HDHP) members that they pay full freight for their prescriptions while the health plan or employer sponsor (in a self-insured model) receives rebates on these same drugs, consultants in the field explain that the nuances of the...
By - June 6, 2016
If you were in charge of a U.S. health insurer, what issue would make you lose sleep as you peer ahead to the rest of 2016 and into next year? When a pair of consultants and a noted lawyer were asked that question, they produced a list of challenges for health insurers that amounted to a virtual...

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