Tag:
Wellpoint
Latest Headlines
Latest Headlines
Wellpoint's Patrick McIntyre on anti-fraud analytics partnerships
FierceHealthPayer: Anti-Fraud spoke to Patrick McIntyre for expert advice on smart shopping for anti-fraud data analytics and how to work well with vendors. McIntyre is senior vice president of healthcare analytics at Wellpoint.
WellPoint offers payer perspective on medical homes
The patient-centered medical home is not just the primary care physician or the hospital. The approach entails payers, both public and private, that must adapt to a continental shift away from fee-for-service payments, Amy Cheslock, vice president of payment innovation at WellPoint, said Friday at a briefing.
Mixed bag of enrollment gains, profit losses for top insurers
While seven top dogs in the health insurance industry experienced a decrease in profit margins from year-end 2012 to year-end 2013, many also saw an increase in enrollment, according to a new analysis from consultant company Mark Farrah Associates.
WellPoint targets costly cancer care
Overall costs for treating cancer top $100 billion annually, prompting insurers to change how they pay for cancer care to promote evidence-based, cost-effective treatments, The Wall Street Journal reported.
Insurers embrace bigger, better data
For health insurers, data is getting bigger and smarter, Healthcare IT News reported. Better data and advanced algorithms has allowed WellPoint to both retrospectively analyze claims and proactively look for gaps in coding as well as gaps in care, for example.
First 2015 rate filings show premium hikes
Health plan rates proposed in Virginia, the first state to publicize rate proposals for 2015, support industry analyst predictions that premiums will rise next year, reported the Wall Street Journal.
Episode analytics key to value-based success
Episode analytics can help health insurers thrive under value-based healthcare models like payment bundling, according to a new whitepaper from SAS.
Insurers: Up to 90% of premiums paid
Up to 90 percent of exchange enrollees have paid their first premiums, major insurers told a congressional panel yesterday. However, they also noted many of the 8 million consumers who signed up through the health insurance exchanges include duplicate enrollments, potentially shattering one of the highlighted achievements of the Affordable Care Act.
Rate review costs insurers $350M in California
California insurers lost $349 million in potential premium dollars in 2011 because of state officials' ability to review insurers' proposed rates, according to a report from the California Public Interest Research Group.
Average pay for insurer CEOs jumped to $14M
Some of the Affordable Care Act's biggest winners have been chief executives at insurance companies who have seen their salaries and benefits skyrocket since the law passed.
