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Posts Tagged ‘Blue Cross and Blue Shield’

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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Why Hospitals Should Fear Blue Cross Primary Care Centers

Tuesday, April 23rd, 2019

Forbes.com reports:

“As if hospitals and health systems didn’t have enough emerging threats with big well capitalized publicly-traded insurance companies and drugstore chains developing primary care clinics and urgent care centers in their backyards.

Now come the nation’s largest Blue Cross and Blue Shield plans that dominate big diverse markets like Florida, Illinois, Texas and New Jersey. These Blues plans are backed by their own financing, venture capital funds and primary care partners looking to expand doctor offices, urgent care and health centers in communities across the country. (more…)

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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Employers gear up for next fight after Cadillac tax

Wednesday, March 8th, 2017

Modern Helthcare.com reports:

“Employer and business groups are shifting their lobbying efforts from repealing the Affordable Care Act’s unpopular “Cadillac” tax to fighting GOP proposals to chip away at the tax break on employer-provided health insurance.

Capping the tax break, they say, would cause employers to offer skimpier benefits, and some would stop offering coverage altogether. That would erode the employer-sponsored health insurance market.

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Big news for Chicago-area Obamacare insurance exchange: Cigna seeks to join

Tuesday, July 26th, 2016

The Chicago Tribune reports:

“One of the nation’s largest health insurance companies plans to enter the Obamacare marketplace in the Chicago area for the first time, bringing new competition as other insurers exit or go out of business.

The Tribune has confirmed that Cigna, based in Bloomfield, Conn., has filed plans to sell health policies to individuals and families who purchase their own coverage in the individual market. If the plans are approved by Illinois regulators, Cigna will start selling policies Nov. 1, when enrollment for 2017 Obamacare coverage opens.

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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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How Obamacare Makes Tax Filing Trickier

Thursday, April 21st, 2016

According to Time Inc.

“Many Americans will get new tax forms for the first time. Here’s what to do with them.

 

This year, you may be receiving tax forms you’ve never seen before, all thanks to the Affordable Care Act, aka Obamacare. For the most part, these documents won’t make tax filing too much harder—with one big exception. Here’s what you need to know about this paperwork, depending on what kind of health insurance you had in 2015.

If you had health insurance from your employer all year…

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Here’s What Medicare Part B Costs and Covers in 2016

Tuesday, January 26th, 2016

According to The Motley Fool:

“Learn how this part of the Medicare program works. 

Retirees rely on Medicare to help them with their healthcare expenses, but getting a better understanding of how the program’s different components can be challenging. Medicare Part B plays a key role in the everyday aspects of healthcare, and below, you’ll learn more of the specifics of how much Part B costs and what it covers.

What Medicare Part B costs
Medicare participants pay a monthly premium to get Part B coverage, but one of the more confusing things about the program in 2016 is that different participants pay different amounts. The standard charge for most new participants this year is $121.80 per month. But because of a law that ties Medicare increases to cost-of-living adjustments for Social Security, the majority of existing participants will pay the $104.90 monthly premium they paid in 2015. (more…)

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