Premera Blue Cross
How Premera Blue Cross broke into the Medicare Advantage market [Q&A]
Humana and UnitedHealth dominate the fast-growing Medicare Advantage market across the country. But Washington-based Premera Blue Cross proved that insurers can challenge the top dogs. Although...
6 steps healthcare groups must take in response to a security hack
In the wake of numerous large breaches--including the most recent one at insurance provider Premera--there are many lessons the healthcare industry needs to learn, and Rebecca Fayed says the most important is knowing what steps to take when an attack occurs.
Premera says data breach may affect 11 million consumers
Premera Blue Cross admitted yesterday that hackers gained access to the personal information of about 11 million customers.
Insurers must break consumers of choice habit
Narrow networks have become the favorite among insurers selling plans on health insurance exchanges. Now, insurers need to help convince consumers that they don't need more provider choices and it's better to save money instead.
Surprises lurk within exchange plans for unknowing consumers
Now that the federal health insurance exchange enrollment process is operating more smoothly, some consumers are finding surprises lurking within plans after they've signed up.
Some insurers' renewal letters run afoul of state laws
The sick and expensive consumers are coming, so insurers are taking steps now to help guarantee they have plenty of healthy and inexpensive members to offset the new financial burden.
Global outcomes contracting a bridge between volume and value
Premera Blue Cross believes it has found a way to transition from the fee-for-service payment model toward the newer value-based system--a global outcomes contracting program.
Premiums drop, coverage expands in Washington's exchange
Despite predictions of rate shocks, most consumers in Washington state will actually see lower premiums and enhanced coverage when they buy insurance through the state's health insurance exchange.
Fierce Q&A: Premera Blue Cross reforms provider payments with global outcomes contracting
Washington-based Premera Blue Cross has launched its global outcomes contracting model, which rewards physician groups for providing cost-effective, evidence-based care.
What it means for payers to shift to a consumer-oriented market
One of the biggest changes facing the health insurance industry is the move to a business-to-consumer market, which requires payers operate within a more retail-oriented business. Given the enormity of that shift, Amercia's Health Insurance Plans (AHIP) has planned multiple sessions throughout its Institute 2012 to help payers learn the most effective strategies.