New Jersey Gov. Phil Murphy has nominated two new members for the Horizon Blue Cross Blue Shield Board of Directors, the New Jersey Globe reported Dec. 12.
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CMS is proposing a new rule to streamline options on the ACA marketplace and add more provider network requirements.
New Jersey's state employee health plan, managed by Horizon Blue Cross Blue Shield of New Jersey, paid millions over what providers charged, Bloomberg reported Dec. 12.
Immune-mediated diseases such as psoriasis, psoriatic arthritis, rheumatoid arthritis, Crohn’s disease, and other conditions impact millions of people in the United States. To help reduce the health burden of these chronic diseases, industry players are exploring ways to translate immune…
Ten providers — including Ascension and MaineHealth — recently posted job listings seeking leaders in payer contracting and relations.
Bright Health Group has been warned by the New York Stock Exchange that it might be delisted after the company's average closing price fell below the $1 per share threshold, the Star Tribune reported Dec. 12.
Alaskans spend the most on healthcare every year, while residents of Utah spend significantly less, according to an analysis published Oct. 7 from NiceRx.
From a planned buy of home health firm LHC Group for $5.4 billion to previously undisclosed purchases in Oregon, these are six provider acquisitions by Optum reported by Becker's in 2022:
Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model
A group of Democratic senators and representatives are concerned about healthcare organizations with previous allegations of fraud and abuse, including multiple payers, participating in the ACO REACH program.
Two HIV advocacy groups allege Blue Cross Blue Shield of North Carolina is violating antidiscrimination requirements by pricing HIV drugs in high cost-sharing tiers.