Business Strategy

Four are easy, but one is not so easy

States expecting the woodwork effect

Four key developments to watch for

Just above Medicaid eligibility, the plans could stabilize coverage for low-income members

Use telemedicine to increase provider reach

Q&A with Charles Kennedy, MD

Avoidable costs amount to more than $1 trillion

The medical community is using checklists to voluntarily cut costs

Coverage gaps lead to 40% higher costs

Avoiding disclosure of sensitive information on EOBs could make coverage more appealing to young people.

Focus on simplifying healthcare when rebranding your product.

Plans are working through 834 data to get new members signed up quickly

Business, health management, pharmacy updates

The two companies have signed an agreement that commits them to a “50/50 joint venture” that may dominate the US market.

ACOs and health plans working with state governments soon will be challenged with taking on the risk and responsibility of managing the care of vulnerable populations.

Oregon is the first state to transfer Medicaid populations into accountable care.

Social media and personal calls patch rough relations.

Focus on exchanges gives plans an opening to repair their image among consumers.

Reinvent your market approach for long-term survival

Differentiate your brand as B2B becomes B2C

Invest in efficiency and consider big data

New cost pressures cloud the financial outlook

Florida Blue creates single-specialty ACOs

Few feel prepared for March deadline

Best practices from the retail sector that can help plans revitalize their consumer relationships.