Blue Cross Blue Shield of Michigan and six physician organizations are launching a full-risk reimbursement arrangement for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans.
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Toledo, Ohio-based ProMedica will go out of network with Cigna Jan. 1 if the two sides are unable to reach an agreement on a new contract, the Toledo Blade reported Dec. 13.
UnitedHealthcare purchased a $1.15M building near its existing offices in Minnetonka, Minn., Minneapolis/St. Paul Business Journal reported Dec. 13.
From UnitedHealth Group defeating the Justice Department's challenge of its Change Healthcare acquisition to the approval of a $2.67 billion Blue Cross Blue Shield antitrust settlement, here are 10 key court cases involving payers that Becker's reported in 2022:
Payers added partnerships with top tech companies, fitness brands and billionaire entrepreneur Mark Cuban's new pharmacy in 2022.
Around 5 percent of Medicare Advantage plans are audited each year, Kaiser Health News reported Dec. 13.
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.
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…