Ohio's Medicaid Chief John McCarthy is vacating his position in December as the program's trajectory remains unknown under an incoming Trump administration, reports The Columbus Dispatch.
The Latest
A printing error Oct. 31 caused as many as 170,000 Horizon Blue Cross Blue Shield of New Jersey customers to receive benefit letters baring the names, policy numbers and physician information of other policyholders, reports NJ.com.
The American College of Emergency Physicians released a video in response to Cigna's $9 million TV physician ad campaign, calling on health insurers to provide fair coverage for "real-life" emergency physicians and patients.
Geisinger Health Plan in Danville, Pa., implemented automated coding technology from Talix to streamline risk adjustment processes.
President-elect Donald Trump and former GOP presidential candidates Sen. John McCain (R-Ariz.) and Mitt Romney each made the authorization of cross-state health insurance sales a key part of their healthcare agendas.
A consumer group that filed suit against Anthem Blue Cross Nov. 1 has requested an injunction preventing the insurer from switching 500,000 Californians to health plans that offer no coverage for out-of-network care, reports Los Angeles Times.
Athens, Ga.-based St. Mary's Health Care System and Blue Cross Blue Shield of Georgia reached an agreement to continue in-network collaboration, reports Athens Banner-Herald.
The Everett (Wash.) Clinic will network with Seattle-based Regence BlueShield for 2017 health plans, overriding contract disputes that could have disrupted care for 69,000 patients, reports Komo News.
U.S. District Judge Amy Berman Jackson will begin hearing remarks from Anthem and Cigna Nov. 21 as the payers defend their $54 billion acquisition contract against an U.S. Department of Justice antitrust challenge.
Traditionally, payers and healthcare providers have been portrayed as having conflicting goals. However, as the healthcare industry evolves and implements outcomes-based payment models, health insurers and providers are collaborating more than ever before.