BlueCross BlueShield of Texas may begin requiring some members who access nonemergent care at out-of-network emergency departments to pay their bills in full.
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The Department of Justice requested additional information from Cigna and Express Scripts as the government reviews Cigna's proposed $54 billion purchase of the pharmacy giant.
Atlanta-based Piedmont Healthcare and Anthem Blue Cross Blue Shield of Georgia signed a three-year contract April 20, three days after announcing a handshake agreement.
Inpatient joint replacement procedures can place a significant financial strain on health systems, so much so that Center for Medicare and Medicaid Services is in the process of piloting a mandatory payment program to cut costs.
The New York Department of Health and the New York Department of Financial Services each approved insurer Centene's bid to acquire Fidelis Care for $3.75 billion, Centene announced April 23.
Persistence is key for health systems negotiating out-of-network payments. Collect Rx is the only company in the nation devoted to negotiating out-of-network bills for healthcare providers.
UnitedHealth Group CEO David Wichmann earned nearly $17.4 million in 2017, which is 298 times more than the company's median employee, according to UnitedHealth's 2018 proxy statement.
Humana, in partnership with two private equity firms, will purchase hospice operator Curo Health Services, based in Mooresville, N.C., for $1.4 billion — marking the trio's second deal in five months to beef up its hospice care portfolio, reports Reuters.
Though mega-mergers have taken the insurance industry by storm, Harvard Pilgrim Health Care President and CEO Eric Schultz believes there is still an important place for regional payers, according to Hartford Business.
A network dispute between Brentwood, Tenn.-based TriStar Health, a subsidiary of Nashville, Tenn.-based HCA Healthcare, and BlueCross BlueShield of Tennessee produced $14 million in patient balance bills, according to an article submitted to the Tennessean by Alex Tolbert, founder of consulting group Bernard…