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Archive for the ‘Blue Cross and Blue Shield’ Category

Pharmacy Program Quarterly Update: Changes Effective July 1, 2019

Wednesday, May 1st, 2019

Applies to: Group Markets

Learn about the revisions to the drug list for members with prescription drug benefits administered by Prime Therapeutics®.

Drug List Changes
Based on the availability of new prescription medications and Prime’s National Pharmacy and Therapeutics Committee’s review of changes in the pharmaceuticals market, some revisions and/or exclusions will be made to the Blue Cross and Blue Shield of Illinois (BCBSIL) drug lists, effective July 1, 2019. Changes by drug list are listed on the chart links below.

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Health Insurance Brokers Help Employers Lower Healthcare Costs

Friday, August 18th, 2017

ACA Times reports:

“When it comes to providing healthcare as an employer, cost is a major concern. Under the Affordable Care Act (ACA), applicable large employers – organizations with 50 or more full-time employees and full-time equivalent employees — are required to offer insurance to 95% of their full-time staff.

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BCBSIL to Stop Offering SHOP Plans (Small Group 1-50) Starting Jan. 1, 2018

Friday, August 4th, 2017

Blue Cross and Blue Shield reports:

“We want to let you know that Blue Cross and Blue Shield of Illinois (BCBSIL) will not be participating in the Federally Facilitated Small Business Health Options Program (FF-SHOP) marketplace with BCBSIL health insurance plans starting Jan. 1, 2018.

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Obamacare rates in Illinois could climb next year

Friday, August 4th, 2017

The Chicago Tribune reports:

“Health insurers want to raise premiums next year for Illinois consumers who buy coverage through the Obamacare exchange — in many cases citing uncertainty surrounding the health care law as a reason for the proposed jumps.

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Blue Cross premium hikes in Texas, Oklahoma could mean Illinois sticker shock

Tuesday, June 14th, 2016

The Chicago Tribune reports:

“Illinois residents who buy Blue Cross and Blue Shield health care coverage through the state insurance exchange may be in for Obamacare sticker shock, if proposed rate hikes by the largest insurers in Texas and Oklahoma are any indication.

Texas and Oklahoma are possible harbingers of Blue Cross’ prices on the Illinois exchange because all three health plans are owned by the same company, Chicago-based Health Care Service Corp. Blue Cross is the most popular insurer on the Illinois exchange.

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Largest Texas Health Insurer Requests to Raise Premiums on Individual Policies

Tuesday, June 14th, 2016

Newswire reports:

Blue Cross Blue Shield of Texas (BCBS), which insures approximately 603,000 individual Texas policyholders, announced a proposal to raise premiums on three popular Health Maintenance Organization (HMO) plans by almost 60 percent. The rate hike follows a report by BCBS citing substantial financial losses in the second year of the Affordable Care Act (ACA) exchanges.

The Affordable Care Act, colloquially known as “Obamacare,” established marketplaces—or exchanges—where people without other health insurance can buy coverage. Filings from healthcare.gov show BCBS is seeking increases between 57.3 percent and 59.3 percent for two of its Blue Advantage Plus Plans. A 58.6 percent hike has been requested for the Blue Advantage Health Maintenance Organization Plan.

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Blue Cross Blue Shield Confirms Obamacare Death Spiral

Thursday, April 28th, 2016

According to The Beacon:

” The Blue Cross and Blue Shield Association, which represents 36 Blue Cross and Blue Shield plans covering 105 million Americans, has just released a study of its members’ claims data in Obamacare exchanges 2014 and 2015. It confirms that Obamacare exchange enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.

Here I quote four of the study’s findings:

  • Members who newly enrolled in BCBS individual health plans in 2014 and 2015 have higher rates of certain diseases such as hypertension, diabetes, depression, coronary artery disease, human immunodeficiency virus (HIV) and Hepatitis C than individuals who had BCBS individual coverage prior to health-care reform.
  • Consumers who newly enrolled in BCBS individual health plans in 2014 and 2015 received significantly more medical care, on average, than those with BCBS individual plans prior to 2014 who maintained BCBS individual health coverage into 2015, as well as those with BCBS employer-based group health insurance.

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Blue Cross, Advocate team up on new health insurance plan

Monday, January 11th, 2016

Crains Chicago Business Reports:

“Blue Cross & Blue Shield of Illinois and Advocate Health Care are teaming up to offer a health plan that will be one of the cheapest options the insurer offers on and off the Obamacare exchange.
The plan, called BlueCare Direct, is a marriage of two giants. Blue Cross is the largest health insurer in the state, and Downers Grove-based Advocate is the largest health care system, with 12 hospitals and more than 4,000 doctors.

The BlueCare Direct network will include 250 of Advocate’s sites of care in Cook, DuPage, Lake, Kane and Will counties, including nine of its hospitals and a children’s hospital with two campuses. Enrollees can stick with their primary care doctor outside of Advocate’s system, but the plan will not cover it, said Dr. Lee Sacks, chief medical officer for Advocate.

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Blue Cross, Advocate team up on new health insurance plan

Tuesday, October 20th, 2015

Crain’s Chicago Business reports:

“Blue Cross & Blue Shield of Illinois and Advocate Health Care are teaming up to offer a health plan that will be one of the cheapest options the insurer offers on and off the Obamacare exchange.

The plan, called BlueCare Direct, is a marriage of two giants. Blue Cross is the largest health insurer in the state, and Downers Grove-based Advocate is the largest health care system, with 12 hospitals and more than 4,000 doctors.

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Blue Cross and Blue Shield of Illinois and Advocate Health Care launch high performing network

Tuesday, October 20th, 2015

PR Newswire reports:

“Blue Cross and Blue Shield of Illinois (BCBSIL) and Downers Grove-based, Advocate Health Care, announced today the creation of a unique health plan that promotes high quality care at a low cost for patients. The plan, BlueCare Direct, is the first of its kind in Illinois for individuals and families, in particular, those who may be highly cost-sensitive healthcare consumers.

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