Last month, the LA Times reported that Blue Cross of California had agreed to change its position on policy cancellations, now making a distinction between those who make honest mistakes on application forms and those who fraudulently misrepresent themselves to obtain benefits. The Times predicted that the class-action settlement would "send shock waves" through the insurance industry.
Deciphering diversity: Empire leader Mark Wagar studies melting pot of member-engagement opportunities
Every morning, Mark Wagar, president of Empire Blue Cross Blue Shield, walks more than a mile through Manhattan to his office on 42nd Street. It's a city of great diversity and that fact that isn't lost on him, especially considering that one in four New Yorkers is an Empire member.
Face value: Cleveland Clinic's Michael McMillan focuses on outcomes, value and expanding national access
In his job description as executive director of the managed care division for Cleveland Clinic, Michael McMillan is accountable for business relationships with health plans and employers. McMillan is focused on making the Clinic—one of U.S. News & World Report's top three hospitals—available to members of every health plan and managed care organization.