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Posts Tagged ‘BCBS’

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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The ‘Affordable’ Care Act, another Christmas bah-humbug

Monday, January 11th, 2016

The Hill Reports:

“‘Tis the season for giving—and for the Affordable Care Act, it’s become the season for giving bad news. For the third year in a row, open enrollment has given millions of hardworking Americans news that their health insurance will have higher premiums, fewer choices, and more out-of-pocket costs—if their insurance will even exist after the holidays are over.

But this sad reality won’t be found in the flowery rhetoric of the law’s supporters. From President Obama to Hillary Clinton to many candidates for both the U.S. Senate and House, politicians are claiming the law is a smashing success. This might make for a good stump speech for the base, but these claims carry huge political risks: They sound woefully disconnected from the struggles millions of Americans are suffering under this law.

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Blue Cross and Blue Shield of Illinois: 2016 Rate Filings

Wednesday, September 16th, 2015

Blue Cross and Blue Shield of Illinois reports:

“Blue Cross and Blue Shield of Illinois (BCBSIL) recently filed its 2016 rates with Illinois. Below are FAQs that may help you understand what this means.

Who does this affect?

The 2016 rates will affect individuals and families who bought health insurance either directly from us or Get Covered Illinois™, the Official Health Insurance Marketplace.

Will my premium increase?

It depends. It’s important to understand that rates are not the same as premiums. Rates, which affect premiums, are based on several things, like region, pharmaceutical costs, and use of insurance benefits. However, your 2016 premiums will depend on the general rates, plus the number of people on your plan, their ages, and where you live.

Are increased rates about BCBSIL making more profits?

Rates are based on our members’ health care claims in previous years. When the Marketplace opened in 2014, we began offering new plans and set rates based on new requirements and what we thought member claims would be. Now that we have a full year of member claims with the new plans, we have a better idea of our costs. These costs are also affected by region, pharmaceutical costs, and use of insurance benefits, among other things. We are adjusting our rates so that we can keep providing coverage options across the state for people who don’t have insurance through an employer.

There are consumer protections in place to limit our ability to raise premiums just to increase profits. For example, medical loss ratio (MLR) requirements require at least 80% of premiums to go to medical costs each year. If that requirement isn’t met, BCBSIL may need to give certain customers premium rebates.

When will I find out if my premium is going up? How will I be notified?

If your 2016 premium does go up, we will send you a letter in the fall to notify you.

BCBSIL Monitoring Confirmed Case of Ebola Virus in Dallas

Friday, October 3rd, 2014

News from the Blues reports:

“With the first case of Ebola virus being confirmed in Dallas, we will be monitoring the situation and providing you with further updates and resources as needed.

The Centers for Disease Control (CDC) recognizes that even a single case of Ebola diagnosed in the United States raises concerns. We reaffirm the CDC’s statement that the U.S. medical systems and public health infrastructure are well equipped to contain the virus and limit any further potential threats.

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