Tagged with BCBS Blue Cross Blue Shield

NJ – Governor Seeking Increased Control over Horizon BCBS

New Jersey is perusing increased oversight of the state’s largest health insurer, Horizon Blue Cross Blue Shield, after the Horizon Foundation for New Jersey declined to add $300 million to the state addition-treatment fund.

Aetna to Exit all ACA Insurance Marketplaces in 2018

Aetna has announced plans completely withdraw from the ACA insurance exchanges for 2018, citing financial losses as the deciding factor, specifically its individual commercial products lost nearly $700 million between 2014 and 2016 and could lose another $200 million this year.

Aetna: Payment Reduction for X-Rays Using Film

Applicable to the technical component, claims billed with modifier FX to indicate X-ray imaging services were provided using film reduces will be subject to a 20% reduction.

Study Finds New Payment Models May Potentially Reduce Health Care Disparities

A new study from Harvard Medical School claiming to have found “meaningful” improvements in quality, outcomes, and spending for all patients in the Alternative Quality Contract (AQC) between suggests binding insurers’ physician payments to quality metrics can narrow disparities between low- and higher-income patients.

WI – Report Shows 95% Covered As 2017 Enrollment Surges

A recent analysis by the University of Wisconsin Applied Population Laboratory showed that 94.3% of the state’s population had health insurance in 2015. Ranking seventh in percentage of residents covered across all states. According to HHS Regional Director Kathleen Falk, within the first month of 2017 open enrollment approximately 66,000 people in Wisconsin signed up for plans.

Some US Residents will Take Significant Hit Following Premium Hikes

U.S. residents paying the full costs of their health insurance premiums could be hit especially hard by premium rate hikes for the 2017 coverage year. Individuals who do not receive subsidies under the Affordable Care Act must pay the full costs of health plans they purchase through the exchanges, according to a new report from Kaiser Health News/NPR’s “Shots.”

IL – Proposed 2017 ACA Premium Increases

Blue Cross Blue Shield of Illinois’ proposed exchange premiums for 2017 seeks range from +23% to +45% for its individual health-care plans in the Affordable Care Act marketplace.