AIS’s Directory of Health Plans

Datapoint: HealthCare.gov Sees 1.6 Million Sign-Ups in First Two Weeks of Open Enrollment

November 24, 2020

During the first two weeks of open enrollment, more than 1.6 million people signed up for 2021 exchange coverage through HealthCare.gov, according to CMS. The agency said 1,278,478 of those sign-ups were renewals, and 343,628 were new customers. 11,434,845 people are currently enrolled in exchange plans nationwide, according to the latest update to AIS’s Directory of Health Plans.

During the first two weeks of open enrollment, more than 1.6 million people signed up for 2021 exchange coverage through HealthCare.gov, according to CMS. The agency said 1,278,478 of those sign-ups were renewals, and 343,628 were new customers. 11,434,845 people are currently enrolled in exchange plans nationwide, according to the latest update to AIS’s Directory of Health Plans.

Source: AIS’s Directory of Health Plans

Datapoint: BCBS Michigan to Create Health & Wellness Centers for Employer Groups

November 23, 2020

Blue Cross Blue Shield of Michigan earlier this month said it is partnering with Premise Health to create onsite health and wellness centers for its employer group clients. The insurer’s goal is to remove common barriers of access to care, such as time away from work and unexpected costs. BCBS Michigan currently serves 4,560,108 members, with 28.9% enrolled in a risk-based group commercial product.

Blue Cross Blue Shield of Michigan earlier this month said it is partnering with Premise Health to create onsite health and wellness centers for its employer group clients. The insurer’s goal is to remove common barriers of access to care, such as time away from work and unexpected costs. BCBS Michigan currently serves 4,560,108 members, with 28.9% enrolled in a risk-based group commercial product.

Source: AIS’s Directory of Health Plans

Datapoint: Humana to Launch MA Products in Massachusetts

November 19, 2020

Humana Inc. will offer Medicare Advantage (MA) products in Massachusetts for the first time in 2021, according to a Nov. 12 press release from the insurer. The initial offerings, four PPO plans, will be available in two counties, Worcester and Bristol. Tufts Health Plan is currently the largest MA insurer in Massachusetts, serving 97,144 lives, 35.9% of the state’s market.

Humana Inc. will offer Medicare Advantage (MA) products in Massachusetts for the first time in 2021, according to a Nov. 12 press release from the insurer. The initial offerings, four PPO plans, will be available in two counties, Worcester and Bristol. Tufts Health Plan is currently the largest MA insurer in Massachusetts, serving 97,144 lives, 35.9% of the state’s market.

Source: AIS’s Directory of Health Plans

Datapoint: BCBS Vermont to Revamp Drug Benefit

November 18, 2020

Blue Cross and Blue Shield of Vermont last week revealed it will revamp its entire drug benefit under a new consumer-focused, tech-driven platform. The initiative, Vermont Blue Rx, is set to launch in July 2021. In a press release, the insurer said it has selected a new pharmacy benefits manager to implement the program, but did not disclose which org it chose. BCBS Vermont will continue working with its current PBM, Express Scripts, through June 2021. The insurer is currently the largest in Vermont, serving 171,086 members.

Blue Cross and Blue Shield of Vermont last week revealed it will revamp its entire drug benefit under a new consumer-focused, tech-driven platform. The initiative, Vermont Blue Rx, is set to launch in July 2021. In a press release, the insurer said it has selected a new pharmacy benefits manager to implement the program, but did not disclose which org it chose. BCBS Vermont will continue working with its current PBM, Express Scripts, through June 2021. The insurer is currently the largest in Vermont, serving 171,086 members.

Source: AIS’s Directory of Health Plans

Datapoint: BCBS North Carolina to Add Rural-Focused ACO to Value-Based Care Initiative

November 17, 2020

Blue Cross and Blue Shield of North Carolina on Oct. 29 said it is partnering with Caravan Health to enhance its Blue Premier value-based care network, creating a new ACO for rural hospitals and providers. In a press release, the insurer pointed to challenges rural providers face when adopting value-based care practices that it intends to tackle by using Caravan’s solutions to bridge the technology gap. The Blue Premier program is one of the largest moves toward value-based care ever made by a commercial insurer. Blue Cross NC in August said Blue Premier generated $153 million in savings since its January 2019 launch, and about 52% of its 2,595,509 members see a participating provider.

Blue Cross and Blue Shield of North Carolina on Oct. 29 said it is partnering with Caravan Health to enhance its Blue Premier value-based care network, creating a new ACO for rural hospitals and providers. In a press release, the insurer pointed to challenges rural providers face when adopting value-based care practices that it intends to tackle by using Caravan’s solutions to bridge the technology gap. The Blue Premier program is one of the largest moves toward value-based care ever made by a commercial insurer. Blue Cross NC in August said Blue Premier generated $153 million in savings since its January 2019 launch, and about 52% of its 2,595,509 members see a participating provider.

Source: AIS’s Directory of Health Plans