Based solely on national market share, the “top”  (i.e. largest membership base) Medicare Supplement providers in the country in 2008-2009 were as follows:

1.  United Healthcare (driven by AARP contract) 29% market share

2.  Wellpoint  8%

3.  Mutual of Omaha 6%

4.  Health Care Services Corp.  5%

5.  Conseco 4%

As you can see, the five largest carriers account for 52% market share, and the remaining 48% is captured by dozens if not hundreds of smaller companies.

When Medicare Advantage and other Medicare products are factored into the mix, like prescription drug plans (PDP), the top four companies would be AARP, Humana, Wellpoint and Universal American respectively.

Blue Cross Blue Shield of Alabama has kept a close watch on the health care reform debate.  They fully support health care reform to improve medical care to all patients.  For over 70 years BCBSAL has tried to improve health care in Alabama.

Like many health insurance companies, BCBSAL has some concerns about some of the possible federal legislation that may pass.  They worry some of the proposals will have a negative impact on Alabama patients.  One example is the proposal that would create a new plan run by the government and could jeopardize access to coverage as well as affordability to the 160 million people receiving health benefits through their employers.

Another provision would make it possible for people to wait until they need medical care to purchase health insurance, which would make it more expensive for everyone paying in regularly.  It is still uncertain how the debate will pan out, but BCBSAL remains committed to earn the confidence of their customers and keep costs low for as many members as they can.

Humana Insurance announced in February that they will be cutting their workforce throughout the course of 2010 according to their website.  They will be dropping about 1400 positions, which is about 5%, throughout 2010.  They will be balancing 2500 job reductions with the addition of 1100 jobs in areas that are experiencing growth.  The job cuts will come from attrition, outsourcing, process efficiencies, and the elimination of positions.

Some of the areas experiencing growth right now are medicare cost containment capabilities, pharmacy management, and specialty products.  By growing these lucrative areas Humana can focus on saving money for their members and offering lower Humana insurance quotes.  Humana’s President and CEO Michael B. McCallister regrets the loss of jobs, but says it’s necessary for Humana growth.

All employees affected by this plan will have a 60-day notice period at Humana.  Human Resources plans on working closely with the affected employees to help them find internal positions or outplacement assistance.  Severance packages and continuation of health benefits will be offered.  It seems that no industry is safe from job cuts.

The five largest New Jersey health insurance companies and five physician groups have launched a pilot program to reduce administrative costs by allowing hospitals and physicians to communicate directly with health plans and address administrative tasks through a web portal.

The pilot is sponsored by AHIP and the Blue Cross Blue Shield Association.  If the pilot proves successful and can be rolled out nationally, representatives from AHIP believe hundreds of billions of dollars can be saved annually.

The participating health plans include:Aetna, Amerihealth, Horizon BCBS, CIGNA, and United Healthcare.
AHIP undertook a similar pilot with Ohio health plans in October.  That pilot program is still underway.

Congress has announced a 21.2% cut in Medicare pay for physicians according to the article “Reduction in Medicare Pay Worries Physicians and Patients” by Amit Pathania on TopNews.com.  This is a concern for many and will affect both Medicare patients and doctors.

With less money allocated towards Medicare doctors, the doctors are forced to see less Medicare patients which may mean many will have to look for a different doctor.  According to one survey of neurosurgeons from 2010, about 60% of doctors are lessening their Medicare patients in their practice, and 40% will be cutting back on consultations by new Medicare patients.  Neurosurgeons have made the decision to not treat new patients.

The Congressional Budget Office states an estimate of a savings of $7.3 Billion in the deficit by pushing the Medicare pay cuts to October 1st.  It’s critical that those on Medicare and using Medicare supplement insurance understand what their doctor’s intentions are with their Medicare patients so that they have ample time to find a new, quality doctor if need be.

The children of Rock County are going to benefit from the generous donation from a local contractor JP Cullen & Sons.  They are donating $37500 over the next 3 years to the Dean Foundation so they can expand their Passenger Safety Programs which include Crash Helmet, BUCKLEBEAR and Every Ride a Safe Ride.

The President and CEO of JP Cullen & Sons, David Cullen, believes these passenger safety programs can easily identify with community families.  They are very excited to support the Dean Foundation through Dean Health Plan.

The Dean Foundation Passenger Safety Programs are well respected throughout the county.  It has been around for many years and is bringing much value to the safety of county children.  These programs will nowbe available to Rock county and along with that comes the benefit of increased education, knowledge and overall safety.

According to their website, Humana Health Insurance has made some additions to their already top notch mobile program.  They are adding three more resources for the Mobile Web through their MyHumana Mobile Program.

These new resources will improve a member’s ability to make health care decisions and maximize access to Humana One and their effective tools.  The new tools include Mobile Urgent Care Finder, Mobile Spending Account Balance Viewer and the Mobile Member Information Tool.  These resources will be providing additional guidance for members and will be extremely valuable.

Mobile applications are to be offered in 2010 to enhance mobile capabilities for Humana’s members.  Humana is dedicated to connecting with their members in a way that will make their lives easier and give them the best information possible.  Resources and more information is available on their website.

Oxford Health Insurance Plans are now available to New York area small businesses as a result of a new partnership between UnitedHealthCare and HealthPass.

The health plans are available to New York area small businesses with between 2 and 50 employees.  The health plan options offered by Oxford provide a variety of plan designs including in-network and out-of-network options, as well as the option of requiring a referral for specialist visits.  Routine preventive care and laboratory services will be covered in-network at no charge.

HealthPass enables eligible small business employees to select their own health insurance coverage  that fits their medical needs and budgets.

HealthPass offers more than 25 different health plan options from New York’s leading health insurance carriers including:

EmblemHealth, GHI, HIP Health Plan of New York, and now Oxford Health Plan.

More information about New York individual health insurance options.

President Obama called for a rare meeting with lawmakers as part of a last effort to revive his health care priority.  The debate lasted all day and there wasn’t a resolution but voices were heard.  Obama gave his personal experiences with individual health insurance, including his mother’s battle with cancer.  He appealed to the fact that the health care system is not getting better, but only worse.

The Republicans main argument was that the existing reform bills didn’t do anything to lower costs.  The bills are estimated to cost 1 trillion dollars over the next decade.  The Democrats pointed out that it is going to be costly initially to extend coverage to nearly 30 million uninsured Americans.  Republicans fear a government system taking over a mostly private sector.

There was agreement that there are fundamental differences between the two parties that are causing the major rift.  The Democrats are still hoping to revive the comprehensive bills that have passed the House and Senate but Republicans are clear that they do not do comprehensive very well.  The debate continues even longer.  This information was obtained from the article “Obama and Republicans Haggle in Last-Gasp Health Summit” found on earthtimes.org.

First Lady Michelle Obama launched a program called Let’s Move!, which is a national public/private partnership to stop the epidemic of childhood obesity.  According to BCBSA News, The Blue Cross Blue Shield Association along with their 39 independent BCBS companies strongly support her initiative.

With the launch of this important program the First Lady is bringing together a large range of stakeholders and building a foundation for bringing down childhood obesity.  Approximately 1 out of every 3 children is overweight or obese and this statistic is just staggering and unacceptable.  This puts them at risk for complications such as heart disease, diabetes, stroke and cancer at much earlier ages and BCBS agrees it’s time to get serious about stopping this epidemic

Many BCBS companies, including BCBSAL, have programs designed to promote health and fight obesity.  Focusing in on children is crucial since the next generation is predicted to be the heaviest ever.  The First Lady and her initiative is a great step in the right direction.