Author: Staff

Huntingdon Valley, Pa.-based Holy Redeemer Health System and Philadelphia-based Independence Blue Cross inked a three-year agreement to maintain in-network services at the health system for Independence policyholders.

Starting next month, Anthem Blue Cross Blue Shield of Georgia will no longer cover emergency department services it determines are unnecessary for members with individual plans.

The greatest driver of consumer satisfaction among health plan members is care coordination with providers, according to the annual J.D. Power 2017 Member Health Plan Study.

Denver Health hired Greg McCarthy as CEO of the Denver Health Medical Plan.

Thirty percent of health plans reported they are currently negotiating one or more outcomes-based contracts, according to a recent Avalere study.

Tupelo-based North Mississippi Health Services signed a three-year contract with Minnetonka, Minn.-based UnitedHealthcare before the parties' temporary agreement expired May 31.

Here are seven contract impasses and agreements that took place between payers and providers since May 1.

Carrollton, Mo.-based Carroll County Memorial Hospital and Anthem Blue Cross and Blue Shield of Kentucky extended their network agreement to include the insurer's health maintenance organization and preferred provider organization plans, according to The News Democrat. 

Dallas-based Tenet Healthcare and Louisville, Ky.-based Humana reached a multiyear agreement to reinstate in-network access to all Tenet providers, according to Tenet's first quarter financial results.

Durham-based Blue Cross and Blue Shield of North Carolina requested a 22.9 percent average rate increase for health plans it sells on the ACA exchange.