Health Plan Business

From Health Plan Week - Neighborhood Health Plan is touting what it describes as a unique strategy to continue growing its commercial line of business in Massachusetts’ highly competitive marketplace. The plan is proactively offering money-back guarantees on prompt, efficient customer service to new large- and mid-sized employer-customers signing up groups for coverage. Read more

From Health Plan Week - The goal of Anthem, Inc.’s Pharmacy Home Program (PHP) is to keep members out of it. The program, which launched April 1, 2016, was created to curtail inappropriate opioid use — and improve drug safety — among a small population of commercially enrolled members (see story, p. 1). Anthem’s Medicaid plans have been running similar programs for years. 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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