Health Plan Business

Insurers Seek New Ways to Promote Medical Homes to Physicians

From Health Plan Week - WellPoint, Inc. and Aetna Inc. have recently launched programs in an effort to promote the adoption of the patient-centered medical home (PCMH) model as well as tie physician reimbursement more closely to patient outcomes, under the belief that improved care coordination leads to lower medical costs and improved patient health. Read more

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Employers Encourage Workers to Travel For Care, but Leave Their Passports Behind

From Health Plan Week - Overseas medical tourism has been growing steadily for the past several years, but it hasn’t yet taken off the way some people anticipated. And patients who do leave the country are more inclined to seek low-cost cosmetic or dental procedures than a hip replacement or other complex services. Read more

Big MCO Earnings Growth in ’11 Likely Won’t Be Repeated This Year

From Health Plan Week - While health plan stocks enjoyed a banner year in 2011, it’s highly unlikely that earnings will continue to grow at the same pace in 2012. However, continued low medical utilization could mean profits will continue to exceed expectations this year, according to equities analysts who offered their 2012 earnings predictions during a Jan. 18 webinar hosted by AIS. “I don’t think things are going to be as good as they were… Read more

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Will Contraceptive Mandate Impact Health Insurers?

By Jonathan Block - February 22, 2012

Somewhat lost in the recent hubbub over the health reform law’s mandate that contraceptives be covered in health plans for employees of religious organizations is the impact it will have on health insurers. By and large, insurers have been publicly mum on the topic, though a spokesman for trade...

Pharma, Providers Bear the Brunt of 2013 Budget Cuts

By Jill Brown - February 14, 2012

When the White House said its proposed 2013 budget calls for more than $350 billion in cuts to HHS over 10 years, health insurers could be excused for assuming the worst, after getting a major hit in fees via the health reform law. But perhaps payers have suffered enough already. In the 2013...

The End of Health Insurance Companies?

By Jonathan Block - February 6, 2012

That was the headline of a blog opinion piece posted on The New York Times website on Jan. 30. With a title like that, how could the piece not be interesting? And although I personally disagree with some of their arguments, the authors, Ezekiel J. Emanuel and Jeffrey B. Liebman, both former...