Business Strategy

GeoBlue, a new insurance product made available to companies through a partnership with Highway to Health Worldwide, Inc., will provide global health plans services to BCBSMA members.

Healthcare systems looking to innovate might do well to avoid completely open or closed models, according to research by the Innosight Institute, a not-for-profit think tank.

There's a consensus among commerical plans and federal officials that bundled payments are necessary, and have the potential to be a cost-saving strategy.

Consider hybrid alternatives when switching to cloud computing.

Private exchanges are moving aggressively to address the challenges of providing quality healthcare at an affordable price, according to experts.

While health plans might point to legislation and expansion of public programs as a hindrance, an increase in administrative services only (ASO) arrangements is taking a bite out of the business as well

The advent of ACOs will reshape healthcare delivery, however, the commercial market is positioned to drive the revolution much faster.

Two independent Blues plans have announced a strategic joint investment, expecting to capitalize on future opportunities in Medicaid business.

In a year of stalled growth for many health insurers, CIGNA has seen its international revenue grow 30%

With the continuation of double-digit rate increases, employers are running scared of what might happen next.

Reform calls for establishment of the Consumer Operated and Oriented Plan, which permits new nonprofit insurers to offer plans in individual and small group markets

Up to 30% of employers might drop employee coverage after 2014.

Bonus payments will be based on quality scores - a five-star standard - but now the rules are slightly more relaxed to allow time for phasing in.

Be nimble in product design and prepare for essential benefits and the Basic Health Plan program.

AIHS delegates took a deep dive into the French healthcare system.

Desperate to control healthcare costs, a growing number of employers are adopting high-deductible health plans paired with health savings or health reimbursement accounts.

Healthcare fraud costs Americans between 3% and 10% of each dollar spent.

When major provisions of the Patient Protection and Affordable Care Act take place in 2014, MCOs will face new limits on premium rates in the individual and small-group markets.

Flexibility in response to market pressures has made PPOs the most popular type of managed care organization model.

Health plans are facing a regulatory jolt that could cost them millions of dollars annually in lost revenue. The first zap is the medical loss ratio provision of the Patient Protection and Affordable Care Act.

Three entities - the Medicare Independent Payment Advisory Board; Center for Medicare and Medicaid Innovation; and Patient Centered Outcomes Research Institute - are examining payment mechanisms, cost containment and quality of care.

The impact and magnitude of expenditures should have made Part D an immediate enforcement priority for the Centers for Medicare and Medicaid Services

Industry watchers predict that plan profits will be seriously squeezed by the Patient Protection and Affordable Care Act.

Healthcare industry leaders have had to adopt a new way of thinking to prepare for business interruption

Health plans have little time to prep their operational strategies for new rules under health reform