L.A. Care Health Plan has agreed to pay a $1.3 million settlement and to implement a corrective action plan to resolve allegations that it violated HIPAA regulations.
Author: Alan Condon
Patients enrolled in BlueCross BlueShield of Illinois Medicaid can access all OSF HealthCare hospitals and physicians as part of their insurance plan, effective Aug. 8.
Portland, Maine-based Martin's Point Health Care has agreed to pay $22.5 million to resolve allegations that it knowingly submitted inaccurate diagnosis codes for Medicare Advantage Plan enrollees to increase reimbursements from Medicare.
Pittsburgh-based Highmark Health posted an operating income of $440 million on revenues of $26 billion for fiscal year 2022, but investment slumps resulted in a net loss of $346 million for the year. Excluding investment losses, the company reported net…
Kaiser Foundation Health Plans, part of Oakland, Calif.-based Kaiser Permanente, added 36,000 members in 2022, putting it at more than 12.6 million members nationwide.
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Before the pandemic, North Carolina State Health Plan, administered by Blue Cross Blue Shield North Carolina, grabbed headlines when it shifted from a commercial-based payment model to a reference-based government pricing model that reimburses providers based on a percentage above…