A third-party claims reviewer for Blue Cross Blue Shield of Illinois discovered one of its physician peer reviewers was using someone else's identity, according to a sample letter posted on the Office of the Vermont Attorney General's website.
Author: Staff
During the 2018 coverage period, 48 percent of health insurers selling qualified health plans through the ACA marketplace also offered Medicaid managed care coverage within the same state, according to an analysis from the Association for Community Affiliated Health Plans.
Since the beginning of 2018, 22 payer-provider health insurance products have been launched, with 73 percent of them being a co-branded joint venture insurance policy, according an Oliver Wyman Health analysis.
CVS Health will elevate Aetna's top financial executive to CFO of the combined company — one of several leadership changes CVS unveiled June 6 as it completes its acquisition of the health insurer.
UnitedHealth Group's Optum is one of two companies involved in a $2.2 billion acquisition of a Tacoma, Wash.-based physician-staffing company from Fresenius, according to the Star Tribune.
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St. Louis-based Ascension subsidiary St. Vincent, located in Indianapolis, now has an in-network arrangement with Anthem for its microhospitals, according to WFYI Indianapolis.
In a healthcare landscape where 70 percent of physicians prefer fee-for-service payment models¹, tying physician payment to outcomes requires realigning entrenched clinical processes with new value-based methods.
Anthem and its affiliates from nine states filed a lawsuit against Sebastopol, Calif.-based Sonoma West Medical Center June 1, accusing the hospital's toxicology program of engaging in fraud and fraudulent concealment, among other charges, according to the Sonoma West Times…
Insurers on the ACA exchanges in New York and Washington state are proposing double-digit premium hikes in 2019, according to The Hill.
Cigna inadvertently revealed private information, including bank account details and claims information, of some policyholders in Asia, the health insurer told Bloomberg.