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Horizon Blue Cross Blue Shield seeks for-profit status
Independent, nonprofit Blue plans are becoming extinct
As nonprofit, regional health plans fight the good fight, they find themselves at a disadvantage when competing against the big for-profits. A proposal by Horizon Blue Cross Blue Shield to convert to for-profit status has stirred up unrest with those who advocate for nonprofit healthcare.
The Alliance for Advancing Nonprofit Health Care issued letters to the New Jersey Commissioner of the Department of Banking and Insurance and to the state attorney general, stating that Horizon is in a positive position in its community and that independent consultants should review Horizon’s application and address “critical information gaps” in it.
Horizon is the oldest, largest nonprofit health plan in the state.
A wave of mergers in the past 15 years resulted in major consolidations among Blues plans, making the remaining Blues plans particularly attractive to large MCOs seeking to ratchet up growth. Horizon has not announced any plans to sell or merge, but continued competitive pressure could force its hand.
Extending the Capabilities of the EHR Through Automation
August 2nd 2023Welcome back to another episode of "Tuning In to the C-Suite," where Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of chatting with Cindy Gaines, chief clinical transformation officer at Lumeon.
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Automate Your Practice's Workflows with These 5 Tools
October 4th 2023To maintain patient satisfaction and regulatory compliance and reduce potential clerical errors while maintaining high productivity, you can ease your staff’s burdens by automating your practice’s workflows and empower your staff to do more in less time.
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