Managed Care

Cigna to Discontinue VSP Vision Care’s Integrated Primary EyeCare Program in Kentucky

FRANKFORT, Ky.—In response to a new Kentucky state law (HB 465), Cigna will discontinue VSP Vision Care’s Integrated Primary EyeCare Program (IPEC), effective Sept. 15, 2015. The statute, signed into law March 30, 2015, allows Kentucky doctors the opportunity to participate directly with the Cigna medical network without being required to participate in a vision care plan. The law not only prohibits insurers from requiring a doctor’s participation in a vision care plan in order to become a network provider for a health plan, but it also prohibits an insurer from requiring additional terms and conditions for an optometrist that…


The Boeing Company Selects Davis Vision to Provide Benefits

Jim Eisen, CEO. ​ SAN ANTONIO—The Boeing Company has selected Davis Vision to provide vision insurance benefits for its eligible employees, retirees and their dependents, effective Jan. 1, 2016. Routine insurance benefits covered will include eye examinations by a provider, spectacle and contact lenses, frames, contact lens evaluations, fittings and follow-up care. Davis Vision, with over 21 million members, is a division of HVHC Inc., a part of the Diversified Businesses unit of Highmark Health. Davis Vision members have access to a nationwide provider network of optometrists, ophthalmologists and dispensing locations at more than 48,000 points of access across the…


Medicare Fee Schedule for 2016 Contains AOA-Backed Policies

WASHINGTON, D.C.—Medicare’s 2016 Physician Fee Schedule (PFS) contains several AOA-backed policies that promote greater access to doctors of optometry for America’s Medicare beneficiaries, according to an announcement from the AOA. The Centers for Medicare Medicaid Services (CMS) issued the PFS final rule on Oct. 30 to update policies affecting payment rates for Medicare services furnished during the 2016 calendar year, as well as refine several quality reporting initiatives that are associated with PFS payments. Among the various changes pertaining to all Medicare providers in this PFS final rule, there are a number of AOA-backed provisions that specifically affect doctors of…


VSP Vision Care Names Warren Laird VP of Business Development for Accountable Care Organizations

Warren Laird, vice president of business development, ACOs.  RANCHO CORDOVA—VSP Vision Care has named Warren Laird vice president of accountable care organizations (ACOs) business development. A managed vision care veteran with over 20 years sales experience at VSP, Laird will lead the company’s efforts to expand relationships with ACOs and independent practice associations (IPAs). This will allow VSP’s network of 32,000 independent optometrists to more closely collaborate with other medical providers in the delivery of coordinated care to patients. Laird is based in Greenville, S.C., and he will report to GE Hiatt, VP of health plan sales for VSP Vision…


Anthem Names Nicholas Brecker President of Specialty Business, Including Vision

Nicholas Brecker. INDIANAPOLIS—Anthem, Inc. (NYSE: ANTM) announced today that Nicholas (Nick) Brecker has been selected as president of Anthem’s specialty business, which includes vision among other categories. While Anthem publicly announced this promotion today, it was announced internally to Anthem associates when it went into effect on Wed., Aug. 19, 2015. An Anthem employee for 11 years, Brecker served most recently as vice president of distribution for all specialty business areas and formerly as president of both dental and life/disability. Brecker will report to Pam Kehaly, president of Anthem Inc.’s specialty business and west region. While Kehaly previously held the…