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CHI getting out of scary insurance business

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Englewood, Colo.-based Catholic Health Initiatives has decided to get out of the health-insurance business.

CHI’s insurance subsidiary, QualChoice Health, formerly known as Prominence Health,  has been offering Medicare Advantage and commercial insurance products to members in six states. But, Becker’s Hospital Review reports, the insurance business had a operating loss of almost $97 million in the first nine months of fiscal  2016, which ended March 31. In the like year-earlier period, QualChoice had a nearly $19 million operating loss.

CHI is one of many systems that have launched health plans in recent years, especially since the Affordable Care Act went into effect, but with often disheartening results.

McKinsey & Co.  found that of the 89 hospital-system insurance plans, more than 40 had negative margins in some or all of the past three years. To read the Becker’s story on this, please hit this link.

 


McKinsey: 5 myths about healthcare consumers

 

A McKinsey & Co. report debunks what it says are five big myths about healthcare consumerism.

It lists them thus (and deconstructs them in detail as you can see when you hit the link):

  1. “Healthcare is different from other industries. Consumers don’t bring the same expectations about customer experience to healthcare that they bring to retail or technology companies.”

         2. “Consumers know what they want from healthcare companies and what drives their decisions.”

          3.Most consumers research their healthcare choices before making important decisions and then make fact-based choices based on their research.”

         4. “Now that consumers are paying more for their healthcare, premium price is the only truly important factor in purchase decisions.”

         5. “Almost all consumers have a primary care provider (PCP) and are highly reluctant to change doctors.”

 

 

 


Rough road for provider-led insurance

A new McKinsey & Co. report looks at the dainting challenges  of provider-led health-insurance plans and asks whether they will just repeat the mistakes of the 1990’s.

Thirteen percent of all U.S. health systems now  offer insurance in one or more market.

The report says that special circumstances explain the success of the few health systems that have succeeded — such as Intermountain Healthcare, Geisinger and the University of Pittsburgh Medical Center.


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