AIS’s Directory of Health Plans

Datapoint: Geisinger and Highmark to Launch New Venture in Pennsylvania

March 21, 2019

Geisinger Health System and Highmark, Inc. will launch a not-for-profit health care organization in central Pennsylvania, designed to serve both insurers’ members in four underserved PA counties. Plans include a large primary care center offering walk-in visits, pediatrics, lab testing and specialty services, including dermatology and cardiology. Pennsylvania is Highmark’s largest market, the home of 89% of its 3,958,396 members. Geisinger currently serves 554,942 members in the state.

Geisinger Health System and Highmark, Inc. will launch a not-for-profit health care organization in central Pennsylvania, designed to serve both insurers’ members in four underserved PA counties. Plans include a large primary care center offering walk-in visits, pediatrics, lab testing and specialty services, including dermatology and cardiology. Pennsylvania is Highmark’s largest market, the home of 89% of its 3,958,396 members. Geisinger currently serves 554,942 members in the state.

Datapoint: Intermountain Healthcare to Launch At-Home Primary Care

March 20, 2019

Intermountain Healthcare, the hospital system that operates Utah’s largest insurer, SelectHealth, will expand its home health services to offer primary and palliative care to members in their homes, including checkups with primary care doctors. With these expanded benefits, Intermountain aims to reduce hospital admissions and the amount of time members spend in the hospital once admitted. SelectHealth currently serves 862,255 members in Utah and Idaho, and holds 31.7% overall market share in Utah.

Intermountain Healthcare, the hospital system that operates Utah’s largest insurer, SelectHealth, will expand its home health services to offer primary and palliative care to members in their homes, including checkups with primary care doctors. With these expanded benefits, Intermountain aims to reduce hospital admissions and the amount of time members spend in the hospital once admitted. SelectHealth currently serves 862,255 members in Utah and Idaho, and holds 31.7% overall market share in Utah.

Datapoint: Humana Will Partner With Accolade to Reduce Costs for ASO Members

March 19, 2019

Humana Inc. last week said it will partner with Accolade, a health data solutions company, to reduce costs for its members and employer groups enrolled in self-funded plans. Humana will use Accolade’s data platform to engage with members directly, helping them choose lower-cost providers and services. Humana currently enrolls 6,377,300 self-funded members, though the program will initially focus on the Cincinnati and Milwaukee areas.

Humana Inc. last week said it will partner with Accolade, a health data solutions company, to reduce costs for its members and employer groups enrolled in self-funded plans. Humana will use Accolade’s data platform to engage with members directly, helping them choose lower-cost providers and services. Humana currently enrolls 6,377,300 self-funded members, though the program will initially focus on the Cincinnati and Milwaukee areas.

Source: AIS’s Directory of Health Plans

Datapoint: Blue Cross and Blue Shield of North Carolina to Partner With Cambia Health Solutions

March 18, 2019

Blue Cross and Blue Shield of North Carolina and Cambia Health Solutions last week announced a “strategic affiliation” between the two health insurers in an effort to lower costs and improve quality of care for their members. The two insurers will share administrative and operational services, as well as a CEO, though neither company is calling the deal a merger. The North Carolina Blues plan currently serves 2,311,411 people, while Cambia enrolls 1,731,067 medical lives under its Regence brands and other entities throughout the Northwest.

Blue Cross and Blue Shield of North Carolina and Cambia Health Solutions last week announced a “strategic affiliation” between the two health insurers in an effort to lower costs and improve quality of care for their members. The two insurers will share administrative and operational services, as well as a CEO, though neither company is calling the deal a merger. The North Carolina Blues plan currently serves 2,311,411 people, while Cambia enrolls 1,731,067 medical lives under its Regence brands and other entities throughout the Northwest.

Source: AIS’s Directory of Health Plans

Datapoint: Minnesota Releases Medicaid RFP

March 14, 2019

Minnesota recently released a Request For Proposals (RFP) for the bulk of its managed Medicaid programs, as well as Senior Health Options, its demonstration program for Medicare-Medicaid dual eligibles. 851,540 Minnesotans are enrolled in Medicaid managed care plans, and the state’s Senior Health Options program currently serves 39,907 dual eligibles.

Minnesota recently released a Request For Proposals (RFP) for the bulk of its managed Medicaid programs, as well as Senior Health Options, its demonstration program for Medicare-Medicaid dual eligibles. 851,540 Minnesotans are enrolled in Medicaid managed care plans, and the state’s Senior Health Options program currently serves 39,907 dual eligibles.

Source: AIS’s Directory of Health Plans