`

Anthem

St. Francis Hospitals, Anthem disagree over health insurance reimbursements

The St. Francis hospital system and Anthem Blue Cross and Blue Shield of Indiana are haggling over insurance reimbursement costs. The original demand of Sisters of St. Francis Health Services Inc. would have increased reimbursement amounts $80 million over three years, Rick Rhodes, an Anthem regional vice president, wrote in an Oct. 30 letter to employers covered by Anthem. The increase would mean $12 million more in out-of-pocket costs to Anthem customers. But St. Francis claims its request for an increase only brings it in line with what other hospitals are getting.
Read More

Anthem increases its hold on Indiana

Anthem Insurance Co. added nearly 75,000 commercial customers last year, pushing its total up more than 4 percent. Anthem, a subsidiary of Indianapolis-based WellPoint Inc., now claims a whopping 1.8 million commercial customers in the state. The trouble is, Anthem's dominance limits price competition, according to benefits brokers, making it hard for local HMOs such as M-Plan or even some national players to compete.
Read More

WellPoint adjusts to executive exodus

Fifteen senior executives have left WellPoint Inc. since November 2004, when the giant health insurer formed through Indianapolis-based Anthem Inc.'s $16.5 billion acquisition of California-based WellPoint Health Networks Inc. The merger made many of them rich, work at WellPoint was grueling, and personal commitments called. So they moved on.
Read More

Bill challenges WellPoint's 'favored' status

A bill moving through the Indiana General Assembly could remove one of the major weapons Anthem Blue Cross and Blue Shield has used to preserve its market dominion. Senate Bill 114 would forbid health care providers from granting Anthem--or any other health insurer--so-called "most favored nation" clauses.
Read More