The administrative burden of billing and insurance-related activities is a significant one. In 2012, such activities cost the healthcare system approximately $471 billion, according to a study in BMC Health Services Research.
Author: Staff
Louisville, Ky.-based health insurer Humana has agreed to pay a $161,800 fine for sending letters containing inaccurate information to approximately 1,600 policyholders in August 2013, according to a St. Louis Post-Dispatch report.
Health insurer Aetna and Pittsburgh-based Highmark have resolved their contract dispute concerning Jefferson Hospital in Jefferson Hills, Pa., and signed a two-year contract renewal, according to a TribLIVE report.
Although medical costs associated with influenza are seasonal, they can marginally affect health plan medical costs, according to Brian Wright, a Stern Agee analyst.
Despite the 2008 mental health parity law, some health plans on state exchanges have not yet leveled access to mental health services to equal physical health coverage, according to Kaiser Health News.
Advertisement
The Pennsylvania Department of Health has sent a letter to the CEOs of Pittsburgh-based UPMC and health insurer Highmark Health requiring the two parties to resolve continuity of care issues for Highmark customers, according to a Pittsburgh Post-Gazette report.
Insurance regulators in Washington, D.C., have ordered health insurer CareFirst BlueCross BlueShield to provide $56 million in community health needs due to its cash reserve being "excessive," according to a Washington Post report.
The rate contract between Cincinnati-based UC Health and health insurer UnitedHealthcare is set to expire this week and if a new contract isn't reached, UnitedHealthcare members might have to pay out-of-network costs for care at UC Health facilities, according to…
Financially troubled Iowa health insurance cooperative CoOportunity Health may be end up being liquidated, according to an Omaha World-Herald report.
The Obama administration will investigate health insurance companies' prescription drug coverage and other benefits after becoming aware of "discriminatory benefit designs" that discourage people with certain conditions from enrolling in health plans, according to the New York Times.