Two health plans owned and operated by hospital districts — Community Health Choice in Houston and Community First Health in San Antonio — argue state officials broke a provision of law ensuring that nonprofit health plans affiliated with hospitals are included in the contacts.
Instead, the $10 billion contracts were awarded to only for-profit payers. In response to claims from the nonprofit health plans, the Texas Health and Human Services Commission said the nonprofit plans either didn’t offer the best value or didn’t meet minimum requirements to satisfy the law.
To read the full article, click here.
More articles on payers:
Ex-BCBS Association CMO to head up innovation at prior authorization company
12 payer exec moves
Centene revenues to sink $500M over delayed North Carolina Medicaid contract
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
