Oct 2014 The “weaponization” of ACO narrow networks: Strategic destabilizers which compel their own replication? By Tory Wolff Payers , Providers In theory, narrow networks built around a single provider or a network… Read more
Sep 2013 Strategic “crowd-out” via narrow networks: an emerging case study in Wisconsin By Tory Wolff Payers , Providers Last week, I argued that, if payers want to secure competitive advanta… Read more
May 2012 The Blues system and PHIXs: not standardizing on a single utility By Tory Wolff Payers BCBSMN has licensed the platform for its private health insurance exch… Read more
Dec 2011 Bubble in acquisition pricing of Medicare Advantage lives? By Tory Wolff Payers Several recent acquisitions suggest a rapidly growing valuation on Med… Read more
Nov 2011 XL Health in play: what do the three suitors see? By Tory Wolff Payers UPDATE: United buys XL Health! Here's what we surmised in the origin… Read more
Nov 2011 The CIGNA-Healthspring deal: local share key to top-line synergies but still missing from the equation By Tory Wolff Payers , Providers Summary Provider discounts are a key priority for national accounts –… Read more
Sep 2011 Private health insurance exchanges and defined contribution: thoughts on Wellpoint’s acquisition of Bloom Health By Tory Wolff Payers Why would a health plan want to buy an exchange? Isn’t the only syner… Read more
Jun 2011 Did Wellpoint overpay for Caremore? No….not yet anyway By Tory Wolff Payers , Providers Summary Wellpoint probably paid full value for Caremore (if that comp… Read more
May 2011 Major health plan Q1 earnings: Profit surprise in commercial risk; multiple reasons why business prospects look good By Tory Wolff Payers Public health insurers startled the market with earnings ~25% above co… Read more
