Category Archives: Health Insurance

Anthem Expands its Behavioral Health Business with Beacon Acquisition

Anthem, Inc.’s (Anthem) acquisition of Beacon Health Options (Beacon) will help the company expand its Differentiated Business Group’s businesses and deliver integrated solutions and care delivery models that personalize care for people with complex and chronic conditions. Anthem’s Behavioral Health business will now play a key role in this expansion strategy. Beacon is the largest […]

WellCare is Focusing on Care for Chronic Conditions

A major component of WellCare Health Plans’ (WellCare) strategy is to continually improve the quality of care and service that are provided to members. WellCare hopes to accomplish this by focusing on preventive health, wellness, and a population health management model that brings together medical, behavioral, social, and pharmacy programs to provide quality care and […]

The Single Most Important Chart in US Health Care (rebooted)

Note that we did not say it’s the single most important chart in all of US health care spending. Because it’s more than that. The magnitude of the difference in health treatment spending that The Most Important Chart encompasses illustrates that the hodgepodge of services and products we lump together as “health care” are widely divergent […]

Centene Looking for Growth Beyond WellCare

Centene Corp. announced that it will buy fellow Medicaid insurer WellCare Health Plans in an estimated $17.3 billion deal. When finalized, the two insurers would cover nearly 22 million people in Medicare, Medicaid and the ACA exchanges. Centene CEO Michael Neidorff will serve as chairman and CEO of the merged company. Centene’s shareholders would own […]

Value-Based Contracting in Commercial Insurance

Background on risk-sharing and insight into risk-sharing agreements from a payer’s and manufacturer’s perspective.

Provider Owned Commercial Health Plans

Provider Owned Commercial Health Plans. Provider-sponsored plans make up 15% or more of the health insurance market, and this percentage is growing, according to many of the projections by industry observers. Until recently, commercial health insurance products have, with only a few exceptions, been offered by health insurance companies. Now, health systems are increasingly assuming financial risk […]

Anthem-Cigna Merger Affected by Blues Plans

BlueCross Blue Shield Plans: Access Market Intelligence

Anthem-Cigna Merger Affected by Blues Plans The large employer market is playing the lead role in the Anthem-Cigna merger lawsuit. The Department of Justice stated that the health insurance merger would create major concentration when selling health plans and services to large employers. (Health Affairs Blog, December 28, 2016) One interesting aspect of the Anthem-Cigna […]