Venture Rethinks Health Insurance -- WSJ
February 21 2019 - 3:02AM
Dow Jones News
By Jon Kamp and Anna Wilde Mathews
This article is being republished as part of our daily
reproduction of WSJ.com articles that also appeared in the U.S.
print edition of The Wall Street Journal (February 21, 2019).
BOSTON -- A health-care joint venture launched by Amazon.com
Inc., Berkshire Hathaway Inc. and JPMorgan Chase & Co. is
looking at how to redesign health insurance, among other efforts,
according to newly unsealed court testimony from an executive at
the health startup.
The three companies announced the venture last year with stated
goals of trying to improve health care and rein in costs for their
employees. The still-unnamed venture has released few specifics,
however, about its long-term aims.
Chief Operating Officer Jack Stoddard shed some light while
testifying in federal court in Boston late last month. He was there
for a hearing in a lawsuit filed by UnitedHealth Group Inc.'s Optum
health-services unit, which aims to stop a former employee from
working for the new venture.
In testimony unsealed Wednesday, Mr. Stoddard said the venture
is focusing on the complexity of health insurance and asking if it
can "reinvent what insurance looks like in terms of benefit
design?" He said workers are often confused about what their plans
cover. Employers could try different approaches and see what works,
he suggested.
A spokeswoman for the venture declined to comment.
The newly unsealed testimony added some details to remarks Mr.
Stoddard had made in open court while describing the venture, which
he said is focused on helping its three founding companies' more
than 1.2 million workers.
Mr. Stoddard had testified that the venture will be deploying
smaller-scale tests of ideas like making primary-care access
easier, or maintenance drugs cheaper. If these ideas work, they
could be scaled up among the venture's owners.
One goal is to bolster the importance of primary care, he said
in the newly public testimony.
The venture wants to "make it easier for doctors to do good care
and to spend more time, not less time" providing care, he said.
Optum, which owns medical groups around the country, could be a
good partner, Mr. Stoddard testified.
The new health venture had sought to keep part of Mr. Stoddard's
testimony private. U.S. District Court Judge Mark Wolf ruled on
Wednesday that a full transcript should be released, siding with a
motion brought by Dow Jones & Co. Inc., publisher of The Wall
Street Journal, and Boston Globe Media Partners LLC.
Mr. Stoddard said the startup is initially focused on analyzing
data to "understand where there's variation in care, quality, where
prices don't match value, where doctors are performing."
The venture also is looking at pharmacy costs, Mr. Stoddard
testified, but has no plans to compete with existing
pharmacy-benefit managers. Optum owns one of the largest PBMs.
"But we will look and say, could we contract with one of them to
get more transparency?" Mr. Stoddard said.
Optum argues the three-company venture, known as ABC in court
documents, is a rival and that former employee David W. Smith is
bound by a noncompete agreement. Mr. Smith and ABC say they aren't
aiming to directly compete with Optum, which sells a variety of
health-related services to employers and others.
Mr. Stoddard also has said the venture doesn't have any products
and is working on partnering with companies that can offer them.
But the venture could consider building them if it doesn't find
what it needs in the market, he has said.
Judge Wolf hasn't yet ruled on an Optum request for a temporary
restraining order aimed at barring Mr. Smith from working for his
new employer or sharing trade secrets. In a recent two-day court
hearing, the judge sought testimony to help understand the
venture's scope and goals.
Write to Jon Kamp at jon.kamp@wsj.com and Anna Wilde Mathews at
anna.mathews@wsj.com
(END) Dow Jones Newswires
February 21, 2019 02:47 ET (07:47 GMT)
Copyright (c) 2019 Dow Jones & Company, Inc.
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