Humana Protests State’s Health-Insurance Plans, Too
Source: | McClatchy-Tribune Information Services |
Wordcount: | 721 |
Insurance vendors have until noon today to file protests, according to the state's Chief Procurement Officer
State employees and retirees are set to begin enrolling in new health plans
"It is a priority for our office," he added. "However, we won't compromise the review."
The state has proposed awarding two separate HMO contracts to
The Blue Cross and Blue Shield HMOs apparently won't be options for East Central Illinois state employees or retirees because the company doesn't have medical provider networks established in those counties.
Hayes said
On HMO plans, she said, 70 percent of the state's consideration was pricing and 30 percent of the consideration was quality, provider network and other nonpricing factors.
On open access plans, she said, it was the other way around: Just 28 percent of the consideration was pricing, and the rest of the consideration went to quality and other factors.
Yet, Hayes said, the two selected open access plans _ which are structured with three different service level tiers and out-of-pocket costs for each _ will include HMOs on their first tiers.
"These are all considered managed care plans, so one would think the evaluation would be the same," she said.
For those services, out-of-pocket costs under a Health Alliance HMO would run
The largest increase the company found in comparison was 309 percent more for a
Hayes said support for insurance contract protests has been growing downstate, and talks with legislators are continuing.
"We're talking to them about the fairness of about 137,000 members in downstate HMOs, including
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