Health insurance mergers may harm consumers, a former insurance commissioner states — 5 notes

Georgia’s former insurance commissioner, John Oxedine, explained his views about how the “Big Three” insurance providers will ultimately harm consumers, according to jacksonville.com.

Advertisement

Here are five notes:

1. The recent health insurance mergers will prohibit competitive balance to control prices.

2. Mr. Oxedine claimed if the recent Aetna-Humana and Anthem-Cigna mergers are approved, states should be concerned about prices rapidly increasing.

3. Mr. Oxedine approved WellPoint’s acquisition of Blue Cross and Blue Shield of Georgia while he was in office. He claimed the deal is different from recent mergers because the WellPoint deal did not affect competition. WellPoint had no operations in Georgia at that time.

4. Graham Thompson, leader of the Georgia Association of Health Plans, defended the latest insurers’ mergers by stating the insurers will endure much more scrutiny than mergers between hospitals.

5. Mr. Oxedine filed a lawsuit against Blue Cross and Blue Shield of Georgia, claiming the insurer fraudulently continued to charge high premiums to customers while simultaneously cutting payments to out-of-network medical providers.

More on coding & billing:
Affinity Health Plan bolsters executive team: 5 key points
Knowledge can save you money on health insurance — 5 facts
Mitigating cash flow risks during the ICD-10 transition & beyond

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.