Susan Morse
Imaging services can be as safely provided, and cost less, at freestanding facilities, Anthem says.
Breach of privacy charge is for mailing HIV medication information in envelopes with transparent windows large enough for the confidential information to be seen.
Anthem-affiliated health plans are limited to seven days for the initial prescription for short-acting opioids.
WellCare will provide Medicaid and Medicare services to Mission Health's six hospitals, other providers.
The health system pays the claims, accepts the risk of a health insurer, but does not sell coverage directly to consumers.
Envelope flaw allowed others to see patient information on options Aetna's health plan offers when filling prescriptions.
CEO Michael Dowling blames federal risk adjustment program that cost CareConnect millions.
The number of consumers in these plans has dropped from 330,000 to 50,000, and those that remain have gotten older and sicker without new customers to balance the risk pool, according to the insurer.
Replacement process not yet announced, but the outgoing CEO will remain on job through the first half of 2018.
Interventions lead to fewer prescriptions, less opioid consumption by aggressively limiting opioid dose and duration of therapy at the initial first fill.