Blue Cross and Blue Shield

Health plans explain genetic testing coverage decisionsToday there are nearly 67,000 genetic tests. With so many tests available, it can be difficult for MCOs to determine what to cover.
493% Increase in Opioid Use Disorder DiagnosesA new BCBS study finds that 21% of insured members filled at least one opioid script in 2015.
Game changing idea: Specialty intensive medical homeBlue Cross Blue Shield of Illinois partners with gastroenterology group to focus on Crohn’s disease patients.
Nearly half of BCBS members discontinue this RA drug after 1 yearAnalysis from Prime shows that improvements in persistency, adherence is key in RA treatments.
Does insurer drop out in South Carolina risk health of individual exchange?
Does insurer drop out in South Carolina risk health of individual exchange?Citing unprofitability, UnitedHealthcare announced it would pull out of South Carolina at the end of 2017. It was followed by Coventry, a subsidiary of Aetna, which served 14 of the state’s 46 counties.
Blue Shield of California CEO shares ACO success secretsInsight from Paul Markovich, CEO, Blue Shield of California
‘Choosing Wisely’ showing mixed resultsPublishing guidelines alone not enough to ensure implementation
BCBS to launch retiree health insurance exchangeBlue Cross and Blue Shield will launch a health insurance exchange this summer that will support employers’ efforts to help retirees transition from group health benefits to individual Medicare coverage that starts Jan. 1, 2016.
Signal through the noiseIndependence Blue Cross and other Blue providers have partnered together to purchase a real-time secure communication network for physicians and hospitals to be on the leading edge of big data.
Insurer and medical association launch accountable care physician resourceIn what is being called a first-of-its-kind joint effort, the Texas Medical Association and Blue Cross and Blue Shield of Texas are launching a resource initiative to assist independent physicians with providing accountable care.