An agency controlled by Illinois Gov. Bruce Rauner (R) is no longer paying healthcare claims for at least 146,000 state workers, retirees and their families receiving coverage through self-insured plans, according to a report from The State Journal-Register.
Kelly Gooch
Beginning this week, American Medical Association and American Hospital Association representatives are expected to appear before a U.S. Senate antitrust panel, calling on Congress to vigorously examine the proposed Anthem-Cigna and Aetna-Humana deals, according to a Forbes report.
The American Hospital Association submitted a letter to the Department of Justice and HHS this week citing concerns about the proposed Aetna-Humana deal.
Flint-based HealthPlus of Michigan, an HMO under state supervision since March for financial losses, expects to complete its turnaround next month when it closes the sale of its Medicaid plan to Troy-based Molina Healthcare of Michigan, according to Crain's Detroit Business.
Providers and payers interact constantly — online, by phone, and face to face. Huge volumes of information go back and forth between them, such as claims, eligibility and benefits inquiries, referral authorizations and lab data.
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Blue Cross Blue Shield plans may be feeling apprehensive following Anthem's purchase of Cigna, according to a Forbes report.
Blue Cross and Blue Shield of Nebraska has signed two agreements with UniNet Healthcare Network, the contracting entity for Denver-based CHI Health, that bring CHI back into BCBS' provider network, NEtwork BLUE.
Humana is said to be in hot pursuit of a sale following Thursday's Supreme Court decision in the King v. Burwell case to uphold subsidies on federal exchanges, according to The New York Times.
Cigna has rejected Anthem's latest takeover bid, according to The New York Times.
Jacksonville, Fla.-based St. Vincent's HealthCare and Florida Blue have yet to reach a deal to keep St. Vincent's in the Florida Blue network, even thought their contract has nearly expired, according to The Florida Times-Union.