From the category archives:

Plan Design

April 14, 2011 | Foster City, Calif., and Pittsburgh, Pa. — A new generation of personalized wellness powered by genetic knowledge will be offered to Highmark members and individuals through a partnership between Highmark and Navigenics, the two companies announced today. The first partnership of its kind in the nation between Highmark, one of the [...]

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GRAND RAPIDS, Mich.–(BUSINESS WIRE)–Priority Health is leading the chorus of health care organizations calling for smart health care and better outcomes. A new web-based tool allows members to evaluate care options prior to choosing surgery. “We each have a responsibility to ask questions of our care givers to ensure the care we receive is the [...]

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SCHENECTADY, NY – Through an unprecedented collaboration with CDPHP and MVP Health Care, Ellis Medicine is essentially guaranteeing the quality of its care. Under this unique program, if a patient undergoes coronary artery bypass (CABG) at Ellis and is readmitted to the hospital for related complications within 90 days of discharge, Ellis will share with [...]

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CHAPEL HILL – The state’s leading health insurer and the state’s health care system will collaborate to develop a completely new type of medical practice in which patients – not just their symptoms – are the focus of care. This advanced medical practice will extend beyond what is currently called the ‘medical home’ and will [...]

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CHATTANOOGA, Tenn. — BlueCross BlueShield of Tennessee has partnered with 15 physician practice groups to build the state’s largest Patient-Centered Medical Home (PCMH) initiative with 31 sites. Ten additional practices are slated to open in 2011. More than 25,000 BlueCross members from Memphis to Bristol as well as individuals covered by competing health plans will [...]

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INDIANAPOLIS–(BUSINESS WIRE)–UnitedHealthcare’s Golden Rule Insurance Company has introduced a new option for individuals and families who are looking for flexible, cost-effective temporary health insurance. Golden Rule’s short term health plans are designed for people whose lives are in time of transition and face gaps in health coverage. They may include workers who are between jobs [...]

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BLOOMFIELD, Conn., October 28, 2010 – The first national outcome-based contract between a pharmaceutical company and a pharmacy benefit management company (press release) resulted in an increase in the number of people with type 2 diabetes who were able to control their blood sugar levels by taking their medications appropriately. Extensive studies have shown that [...]

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BLOOMFIELD, Conn. & KINGSPORT, Tenn., October 26, 2010 – CIGNA (NYSE:CI) and Holston Medical Group (HMG) have launched a pilot of the patient-centered medical home model, in which a primary care physician is responsible for monitoring and coordinating nearly all aspects of a patient’s medical care. This is CIGNA’s only such pilot in the Tri-Cities [...]

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When Americans engage in health-smart habits such as participating in health coaching and disease management programs, substituting generic medications for brand name drugs and avoiding unnecessary trips to the emergency room, their total medical costs went down 15 percent — an average $358 per person in the first year — according to a new multi-year [...]

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Introducing Healthy Blue Living Rewards, an extension of Blue Care Network’s successful Healthy Blue Living product. This new product is an innovative outcome-based HMO health care plan that takes personal accountability to the next level by lowering insurance costs for people who succeed in improving their health and thereby making health care more affordable. “We [...]

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