Regence BlueShield and Seattle-based Virginia Mason Franciscan Health are partnering to launch an accountable health network Jan. 1 they say will provide "affordable, accessible and high-quality care to patients across the Puget Sound region."
Author: Andrew Cass
Centene has agreed to a $44.4 million settlement with Iowa to resolve allegations that it overbilled the state's Medicaid program for pharmacy benefits and services.
Blue Cross Blue Shield of Massachusetts has created a financial payment model that rewards health systems and physicians for eliminating racial and ethnic inequalities to care.
A nonprofit and a nurses union filed a lawsuit seeking to block Horizon Blue Cross Blue Shield's reorganization into a nonprofit mutual holding company, the New Jersey Monitor reported Dec. 14.
The number of uninsured children in the U.S. dropped from 4,375,000 in 2019 to 4,165,000 in 2021, according to a Dec. 7 report from Washington, D.C.-based Georgetown University Health Policy Institute's Center for Children and Families.
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The California Department of Health Care Services is transitioning 325,000 dual-eligible beneficiaries to Medi-Cal managed care Jan. 1, according to the California Medical Association.
Blue Cross Blue Shield of Michigan and six physician organizations are launching a full-risk reimbursement arrangement for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans.
Toledo, Ohio-based ProMedica will go out of network with Cigna Jan. 1 if the two sides are unable to reach an agreement on a new contract, the Toledo Blade reported Dec. 13.
From UnitedHealth Group defeating the Justice Department's challenge of its Change Healthcare acquisition to the approval of a $2.67 billion Blue Cross Blue Shield antitrust settlement, here are 10 key court cases involving payers that Becker's reported in 2022:
New Jersey Gov. Phil Murphy has nominated two new members for the Horizon Blue Cross Blue Shield Board of Directors, the New Jersey Globe reported Dec. 12.