Payer Issues

BCBS of Massachusetts introduces portfolio of digital health tools: 3 notes

Blue Cross Blue Shield of Massachusetts will roll out a platform to connect self-insured accounts with 1,000-plus employees to appropriate digital health tools July 1. By Jessica Kim Cohen - 4/6/18
CMS' new Medicare rules may be fueling Walmart, Amazon deals

Recent changes to Medicare Advantage plans that expand service offerings may be prompting collaborations among retail giants like Walmart and Amazon with health insurers, according to Forbes. By Julie Spitzer - 4/5/18
Some BCBS of Michigan knee arthritis patients faced $450-$1k in out-of-pocket costs, until insurer backpedaled plan

Blue Cross Blue Shield of Michigan upended its decision to not pay for some anti-arthritis injections, according to the Detroit Free Press. By Morgan Haefner - 4/5/18

Survey: Majority of Americans believe ACA marketplaces are 'collapsing'

As lawmakers moved to eliminate the ACA's individual mandate penalty beginning in 2019, approximately half the American public believes ACA marketplaces are "collapsing," including six in ten of those with coverage purchased through these marketplaces, according to a Kaiser Family Foundation survey. By Megan Knowles - 4/4/18
CMS axes a Medicare Advantage star rating measure: 5 things to know

CMS is removing a star rating unit for Medicare Advantage plans, according to its 2019 Rate Announcement and Call Letter. By Morgan Haefner - 4/4/18
Insurer payments to climb 3.4% under new Medicare Advantage rule: 3 notes

CMS will up payments it makes to Medicare Advantage insurers by 3.4 percent in 2019 — almost two times the amount it previously proposed. By Morgan Haefner - 4/4/18
BCBS, Texas Health Resources reach 11th hour agreement

Arlington-based Texas Health Resources and Blue Cross and Blue Shield of Texas evaded a contract lapse through a last-minute agreement. By Morgan Haefner - 4/4/18

UnitedHealth, Anthem shares up on possible Walmart-Humana merger

Humana wasn't the only insurer to see shares rise on news Walmart is in preliminary talks with Humana for a possible deal, CNBC reports. By Morgan Haefner - 4/4/18
Why a Pennsylvania woman's hospital bill spiked $393 after she proved her daughter was insured

A Pennsylvania mother took her daughter to Abington-Lansdale (Pa.) Hospital at 2 a.m. due to severe head pain. In their rush, they forgot the family's Aetna insurance card at home — a mistake that cut their hospital bill by $393, The Inquirer reports. By Morgan Haefner - 4/4/18
Poll: 61% of ACA enrollees satisfied with marketplace insurance options

Most Americans who purchase health insurance through the ACA marketplace are satisfied with the coverage options available, but a number of them also experienced difficulties when attempting to renew or buy coverage, according to a March poll by the Kaiser Family Foundation. By Kelly Gooch - 4/3/18
How Cigna is betting on collaborative care: Q&A with Cigna Senior Director Lynn Garbee

Washington, D.C., may be pumping the breaks on some value-based care initiatives, but more progressive commercial payers like Cigna are putting their weight behind advanced collaborative care models. By Brooke Murphy - 4/3/18

CareFirst phishing attack affects 6.8k

A phishing email attack on Baltimore-based CareFirst BlueCross BlueShield may have comprised nearly 6,800 members' personal data, the company said March 30. By Julie Spitzer - 4/2/18
Anthem, Piedmont contract lapses after failed negotiations: 4 things to know

An in-network contract tying Atlanta-based Piedmont Healthcare to Anthem Blue Cross Blue Shield's provider network expired March 31, affecting hundreds of thousands of patients. By Morgan Haefner - 4/2/18
How payers are thinking outside the box to boost medication outcomes

Many payers are turning to creative strategies to improve members' medication use amid intense pressure to rein in costs and improve outcomes. By Mackenzie Bean - 4/2/18
Walmart reportedly in early-stage talks to buy Humana: 5 things to know

Retail giant Walmart is in preliminary talks with health insurer Humana about developing a closer partnership, and one possibility is Walmart acquiring Humana, people familiar with the matter told The Wall Street Journal. By Ayla Ellison - 3/30/18
Aetna to pass drug discounts on to consumers: 4 things to know

Aetna will begin directly applying pharmacy rebates to policyholders' drug purchases in 2019. By Morgan Haefner - 3/29/18
Allina Health, Aetna pick former Molina president to lead joint health plan: 3 things to know

Minneapolis-based Allina Health and Aetna selected Tom Lindquist to helm their co-branded health plan as CEO. By Morgan Haefner - 3/28/18
OIG: California's Medicaid expansion signed up 366k ineligible people

California enrolled hundreds of thousands ineligible or "potentially" ineligible beneficiaries under Medicaid expansion, according to estimates detailed in a report from HHS' Office of Inspector General. By Kelly Gooch - 3/28/18
Oscar Health's valuation climbs to $3.2B after raising $165M

Health insurance startup Oscar Health raised $165 million in its latest funding round. By Morgan Haefner - 3/28/18
BayCare Health System to offer Medicare Advantage policy

Clearwater, Fla.-based BayCare Health System will launch a Medicare Advantage plan for Florida residents next year. By Morgan Haefner - 3/27/18

Page 3 of 50

«
Prev
1
2
3
4
5
6
7
8
9
10
Next
»

Top 40 Articles from the Past 6 Months