The Pennsylvania Department of Health has sent a letter to the CEOs of Pittsburgh-based UPMC and health insurer Highmark Health requiring the two parties to resolve continuity of care issues for Highmark customers, according to a Pittsburgh Post-Gazette report.
Payer
Five Michigan health organizations that signed innovative, value-based reimbursement contracts with Detroit-based Blue Cross Blue Shield of Michigan years ago have received their first payouts totaling $25 million, according to a Crain's Detroit Business report.
The following issues involving hospitals and insurers were reported within the past few months, beginning with the most recent.
Cincinnati-based UC Health and health insurer UnitedHealthcare have agreed on a contract covering 20,000 UnitedHealthcare customers who get health insurance through their employers, according to a Cincinnati Enquirer report.
Insurance regulators in Washington, D.C., have ordered health insurer CareFirst BlueCross BlueShield to provide $56 million in community health needs due to its cash reserve being "excessive," according to a Washington Post report.
The rate contract between Cincinnati-based UC Health and health insurer UnitedHealthcare is set to expire this week and if a new contract isn't reached, UnitedHealthcare members might have to pay out-of-network costs for care at UC Health facilities, according to…
UnitedHealthcare, an operating division of UnitedHealth Group, and Chattanooga, Tenn.-based Erlanger Health System announced they have signed a new multi-year contract.
Financially troubled Iowa health insurance cooperative CoOportunity Health may be end up being liquidated, according to an Omaha World-Herald report.
The Obama administration will investigate health insurance companies' prescription drug coverage and other benefits after becoming aware of "discriminatory benefit designs" that discourage people with certain conditions from enrolling in health plans, according to the New York Times.
Adults enrolled in a consumer-driven health plan are more likely than those in a traditional plan to be engaged and cost conscious about their healthcare, according to findings from a 2014 Employee Benefit Research Institute study.