From the category archives:

Plan Design

Blue Cross Blue Shield of Michigan has designated more than 1,800 physicians in roughly 500 practices across the state as patient-centered medical homes (PCMH), securing the initiative’s position as the largest PCMH effort in the nation.  The number of designated physicians grew by roughly 50% over the 1,200 designated PCMH physicians in 2009. In the [...]

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According to a recent study, one in five hospital discharges is complicated by an adverse event within 30 days, often leading to emergency care or re-hospitalization.1 To combat this problem, CIGNA (NYSE:CI) and CareCentrix, Inc., have teamed up to offer the Care Transitions Program to people enrolled in a CIGNA health plan after they’ve been [...]

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BlueCross BlueShield of South Carolina and the Palmetto Health Family Medicine Center/University of South Carolina School of Medicine Department of Family and Preventive Medicine will begin a project on July 1 that features a new payment model to reward improved health outcomes and coordinated care within the complexities of our health care system. The payment [...]

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BrandsPlus Rx helps bridge potential coverage gaps by focusing, in part, on more costly brand-name and specialty drugs for which there is no equally effective generic equivalent, and which may be out of reach financially for some employees.

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Increasingly common insurance plans that encourage patients to receive care from physicians who keep medical costs lower are based on unreliable estimates of doctor performance and may not achieve the intended savings, according to a new RAND Corporation study.

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The survey found that the majority of employers made few changes to the basic components of their plan designs, with 84 percent remaining with their current medical carrier.

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SeeChange Health today launched the first new value-based health insurance company in California, offering personalized, value-based health plans that provide incentives to encourage individuals to play an active role in their health management and improve their quality of life.

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As employers continue to empower workers to be more health focused, they are beginning to target and reward those workers who demonstrate a real commitment to making positive lifestyle changes.

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The majority of employers surveyed (94 percent) said they will seek opportunities to improve savings even more in 2010, while they look for ways to improve the overall member experience.

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“Hit by a major recession and thrust into the teeth of a national debate on health reform, employers are taking a critical look at their health benefits strategy and the value they derive from it.”

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