Displaying items tagged: Blue Cross Blue Shield
Physician, health plan advocates optimistic about prior authorization reforms
Supporters are hopeful that a statewide bill to alter the process of doctors seeking prior authorization from insurers for patient care will become law this fall.
CHANGING THE GAME: Insurance industry embraces AI to drive outcomes, cut costs
With the emergence of artificial intelligence over the last decade, insurers’ painstaking work to identify trends and analyze data increasingly has become automated.
Medical claims trends, prescription drug costs drive higher insurance rate proposals
Driven by higher medical claims trends, insurance rates for small business and individual health policies would increase significantly in 2022 compared to recent years under rate proposals before state regulators.
Born from a merger, Spectrum Health grows into major health care player
The seeds for what became West Michigan’s largest health care provider took root nearly three decades ago.
Reporter's Notebook: Spectrum Health, Blue Cross finally sign a deal for Medicare plan
A new deal between Blue Cross Blue Shield of Michigan and Spectrum Health finally brings West Michigan’s largest health system into the care network of a plan for seniors at the state’s largest health insurer.
Blue Cross Blue Shield’s 2020 revenue takes a hit during COVID-19 pandemic
DETROIT — Costs associated with responding to the COVID-19 pandemic cut deeply into Blue Cross Blue Shield of Michigan’s bottom line for 2020, the company reported Monday.
Priority Health to issue health coverage rebates to large employers
Priority Health plans to give large employers a rebate early next year on their employee health coverage, a result of lower medical claims from the COVID-19 pandemic.
MiBiz Growth Report: August 31, 2020
Here is the MiBiz growth report for August 31, 2020.
Health Alliance Plan’s West Michigan entry part of broader strategic growth
Health Alliance Plan’s entry into the West Michigan market comes amid a broader strategic push to grow and become a larger statewide player for employee health benefits.
Panel: Employers reluctant to change health policies during pandemic
Even with the economic downturn, uncertainty and high unemployment resulting from the COVID-19 pandemic, employers still need to look strategically at employee health care benefits to retain and attract talent.
Blue Cross Blue Shield to offer 30 percent premium credit this fall
Blue Cross Blue Shield of Michigan intends to give more than 180,000 individual policyholders a 30-percent credit on their health premiums this fall.
Growing shift to telehealth raises questions about access in rural communities
The COVID-19 pandemic created what Kelly Hirko calls a “massive shift” in health care.
HAP bringing group health plans, competition to West Michigan in ’21
When it enters the West Michigan commercial health insurance market in 2021, the state’s third largest health plan will offer both large group and small group policies.
Reporter's Notebook: COVID-19 raises questions for health insurance rates
The premium credits Priority Health and Blue Cross Blue Shield of Michigan are providing small employers this summer stem from lower medical claims after the onset of the COVID-19 pandemic.
More physicians flock to telehealth options during COVID-19, Blue Cross Blue Shield reports
Blue Cross Blue Shield of Michigan reports a surge in the number of physicians now offering telehealth visits for patients.
Priority Health attributes $29.4M first quarter net loss to accounting adjustment
GRAND RAPIDS — Priority Health’s first quarter net loss in its HMO business stems from what’s described as a “quirky” accounting adjustment required under state regulations.
Citing lower claims, Blue Cross Blue Shield offers 30-percent credit to small business policyholders
Blue Cross Blue Shield of Michigan plans to give small businesses and other policyholders rate relief this summer as a result of lower medical claims during the COVID-19 pandemic.
Investments drive 2019 profit gains for Priority Health, Blue Cross
Strong investment income lifted earnings in 2019 for the state’s two largest health insurers, Blue Cross Blue Shield of Michigan and Priority Health.
Tandem365 looks to expand ‘innovative’ care model in West Michigan
After extending into Kalamazoo in 2019 and preparing for a Newaygo County location this spring, Tandem365 wants to grow further.
HAP looks to enter West Michigan for health coverage
Forming a Medicare Advantage plan with Mercy Health gives Health Alliance Plan of Michigan a position in West Michigan that will lead to the company offering commercial health coverage in the market, MiBiz has learned.
Spectrum Health joins investors in new $100 million health care VC fund
GRAND RAPIDS — Spectrum Health has committed $7.5 million to a new Chicago-based venture capital fund that backs emerging heath care technologies.
Blue Cross Blue Shield proposes moderate rate increases for second half of 2018
Rates that Blue Cross Blue Shield of Michigan charges small businesses for employee health coverage would increase modestly and in some cases decline for policies renewed in the second half of 2018.
As competitors drop out, Blue Cross and Priority Health to remain in state insurance exchange
Blue Cross Blue Shield of Michigan and Priority Health remain committed to selling individual health policies on the state’s public insurance exchange, even as a chief competitor opts to drop out of the market for next year.
Michigan insurers seek rate increases to cover losses on individual market
The losses health insurers in Michigan incurred last year on individual policies led to the large rate increases proposed for 2018 and moved the market to a “very delicate point,” according to one industry analyst.
Blue Cross Blue Shield reports $68 million loss for 2015
Blue Cross Blue Shield of Michigan attributes a “modest” $68 million loss for 2015 to one-time charges to settle litigation and losses in its heavily-subsidized Medigap supplemental policies for Medicare recipients.