Heatlh Care Service Corp.
Analyst: Paula Wade
Report Summary:
Health Care Service Corp. is the big insurance carrier nobody knows, operating as four Blue Cross Blue Shield Plans (Texas, Illinois, Oklahoma, New Mexico) with 12 million members nationwide. Although the company’s growth potential is limited by its four-state footprint, its national accounts business is growing because of its aggressive courting of firms with a national footprint and its use of the Blue Card network , which allows it to service group accounts with members throughout the United States. In addition, HCSC has acquired ancillary companies, such as MEDecision, the disease management software company.
Questions Answered In This Report:
Health Care Service Corp. is a part owner and largest single customer of Prime Therapeutics, the Blue plan-sponsored pharmacy benefits manager. What recent plan design changes may give HCSC more pharmacy lives in 2012?
HCSC has most recently joined with WellPoint and Blue Cross Blue Shield of Michigan to buy equal stakes in Bloom Health, a company that offers employers the ability to run a defined-contribution healthcare benefit to employees. What is the Bloom Health private health exchange concept, and how will HCSC work with it?
HCSC is the dominant player in three of its four markets. How is it using its networks to create cost-saving options in its plan designs? What are primary product design features in each state?
Primary Research:
Analysis of documents, interviews and data from HealthLeaders-InterStudy, HCSC, Centers for Medicare & Medicaid Services
Companies Mentioned In This Report:
- Advocate Health Care
- Availity
- Bloom Health
- Prime Therapeutics
- WellPoint, Inc.