The Massachusetts Department of Public Health has launched an initiative that redirects patients not needing emergency-level care to urgent care providers to address "severe capacity challenges" at hospital emergency departments in the eastern part of the state.
Author: Alan Condon
Hundreds of people, including physicians, patients and Oregon Senate Majority Whip Sara Gelser Blouin, have urged the state department of health to block Optum's proposed acquisition of Corvallis (Ore.) Clinic, the Corvallis Gazette-Times reported Feb. 8.
UCHealth Plan Administrators is joining Select Health, the nonprofit insurance arm of Salt Lake City-based Intermountain Health that serves more than 1 million members across Utah, Idaho and Nevada.
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.
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.
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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.
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…