Madison area providers explore partnerships

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Two health systems and their affiliated insurance companies are exploring a strategic partnership in Wisconsin. This is yet another example of the trend of consolidation among health care providers and insurance companies.

UW Health and UnityPoint Health announced two non-binding letters of intent regarding a future joint operating agreement last month. One letter describes a plan to “create an integrated clinical enterprise with a shared strategic direction.” The second letter describes a possible combination of ...

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Aetna-Humana merger drives fee-based model

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With Aetna poised to acquire Humana in 2016, industry observers have noted how industry consolidation generally and Aetna’s growing market share in particular will lead more intermediaries to adopt a fee-based compensation model. Although fee-based compensation for intermediaries is not a new concept, it is far less common than traditional commission based compensation. However, it appears increasingly likely that fee-based compensation will become much more widespread in the coming years.

Traditionally, insurance agents and brokers have been paid for ...

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IHN adds Kenosha’s United Hospital System

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The Milwaukee Journal Sentinel’s Guy Bolton reported today that United Hospital System of Kenosha has agreed to join Integrated Health Network of Wisconsin (IHN). United Hospital System serves patients in Kenosha, Pleasant Prairie, western Kenosha County, and Northern Illinois through its Kenosha Medical Center and St. Catherine’s Medical Center campuses.

According to United Hospital System’s website, the system has a strong relationship with Froedtert and the Medical College of Wisconsin, two of the original members of IHN. ...

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DOL Health Plan Audits Underway

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Employers who sponsor health plans for their employees must be prepared to pass a health plan audit by the U.S. Department of Labor (DOL), recent reports indicate. Since 2009, the DOL has hired hundreds of new auditors to bring increased scrutiny to employer compliance with various laws and regulations. The first areas of emphasis revolved around wage and hour and employee classification issues, but with implementation of the Affordable Care Act nearly complete, health plans are receiving increased attention. The ...

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2015 Exchange Rates Impact Subsidies

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Public Exchange rate changes in SE WI

With the second season of public exchange open enrollment in full swing, it is now possible to analyze changes in plan costs from year to year. Of all the plans on the public exchange, the one with the biggest effect on the rest ...

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