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GLG News by Actuarial Consultants

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November 24, 2006
High Performance Networks
Analysis of: Pay-for-Performance Plans Now Common Among HMOs | www.nlm.nih.gov
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
One product the major healthplans are starting to sell are benefit plans (HMO's/PPO's) that utilize a high performance network (HPN).  The HPN is a more limited network of doctors who have shown that they are providing quality service and good value from a cost standpoint.
November 24, 2006
Walmart Program Beneficial to Consumers
Analysis of: Wal-Mart Expands Generic Drug Program | www.newsinferno.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
Many people with health insurance have pharmacy plans with generic copays with flat dollar minimums of at least $5.Walmart may gradually expand the program or add additional pricing tiers.
November 24, 2006
Why Are They Dumping?
Analysis of: Trend: Consumers dumping HMO plans | www.fiercehealthcare.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
HMO Plans have become very similar to PPO without an out-of-network benefit.Member cost sharing is typically lower than PPO plans making them more expensive.

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