Blue Cross Blue Shield of Wyoming and Eden Prairie, Minn.-based Itiliti Health are partnering to create a cloud-based automatic prior authorization system for providers.
Author: Jakob Emerson
Gainwell Technologies, a Tyson, Va.-based technology solutions company for health and human services, has named Karen Shields chief client engagement officer.
Empire BlueCross Blue Shield executives and New York City leaders cut the ribbon May 24 on the company's new headquarters in midtown Manhattan.
The Massachusetts Health and Hospital Association is planning to release its semiannual health plan performance report next month and will focus on payers' finances and enrollment in 2021.
Scott Sbihli is senior vice president and head of product at HealthRules Payor, a modern administrative platform for health plans offered by Burlington, Mass.-based HealthEdge. He sat down with Becker's to discuss how payers can leverage new technologies and regulations…
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From Anthem formalizing its purchase of Integra Managed Care to Optum quietly buying up primary care groups in Oregon, these are eight recent mergers and acquisitions involving payers:
Behavioral science can help health plans achieve their goals by changing the behavior of members and providers, according to executives with Blue Cross Blue Shield of Massachusetts. They recommend that all health plans implement an internal "nudge unit," or a…
On May 18, HHS and the Treasury Department approved Virginia's waiver application to establish the "Commonwealth Health Reinsurance Program" that aims to reimburse some payers for a percentage of members' high claims and reduce premiums.
Two drug distributors cannot sue Optum under federal civil rights claims for allegedly losing them customers by denying accreditation from state pharmacy boards, a federal appeals court ruled May 19.
New York Attorney General Letitia James' office announced that a settlement administrator has completed $13.6 million in payments to consumers who were denied mental healthcare coverage by UnitedHealthcare.