The Blue Cross Blue Shield Association has named David Merritt senior vice president of policy and advocacy, effective Oct. 24.
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Arkansas Blue Cross and Blue Shield has added two clinical quality executives to its leadership team, Arkansas Business reported Sept. 19.
Here are what leaders of five organizations said following the House of Representatives' unanimous passage Sept. 14 of a bill to reform the Medicare Advantage prior authorization process.
It’s a familiar pattern with payers, the provider wins a front-line appeal, then a myriad of payer reviews occur and result in more denials.
Capping cost-sharing each month, rather than on an annual basis, could result in savings for consumers, a new research brief published in JAMA Network Open found.
Centene's Texas-based subsidiary, Superior HealthPlan has been awarded a six-year contract to continue providing healthcare coverage for foster care youths through the State of Texas Access Reform Health Medicaid program.
Medicare Advantage plan star ratings hit their highest-ever levels in 2022 — but plans shouldn't expect these increases to continue, McKinsey analysts warn.
From Medicare Advantage providers denying access to care unnecessarily to the nation's organ transplant network being vulnerable to a cyberattack, these are 10 recent findings from HHS' Office of the Inspector General:
Humana executives told investors Sept. 15 it's looking to match or exceed other payers that have outpaced it in Medicare Advantage growth over the last year, WDRB reported.
BlueCross BlueShield of Montana has been awarded a three-year contract to administer the state's employees health plan for 28,000 people.