Payer Archives - Page 1072 of 1079 - Becker's Payer Issues

Moody's: PPACA Policy Changes Mean More Risk for Health Insurers

Recent health insurance exchange policy changes are bad news for insurers, according to Moody's.

ProHealth Care Joins Dean Health Plan

Waukesha, Wis.-based ProHealth Care has signed an agreement to add all of its physicians, facilities and services to Madison, Wis.-based Dean Health Plan's insurance network, effective Dec. 1.

IRS Issues Final Rule on PPACA Health Insurance Provider Fee

The Internal Revenue Service has issued final regulations related to the excise tax on health insurance companies set to kick in under the Patient Protection and Affordable Care Act in 2014.

Saint Francis Hospitals, Blue Cross Blue Shield of Tennessee Reach Agreement

Health insurer BlueCross BlueShield of Tennessee has reached an agreement with Saint Francis Hospitals in Memphis and Bartlett to keep the providers in-network, according to a Memphis Business Journal report.

Wisconsin Budget Committee Approves Medicaid Reform Delay

A Republican-controlled budget committee in Wisconsin has voted to approve Republican Gov. Scott Walker's plan to delay a scheduled Medicaid expansion, according to an Appleton Post-Crescent report.

Despite Growing Market Share, UnitedHealth Predicts Low 2014 Earnings

UnitedHealth Group, the largest U.S. health insurer and parent of UnitedHealthcare, said its per-share profit and revenue in 2014 will be lower than what financial analysts expect, according to a Wall Street Journal report.

Wyoming Gov. Matt Mead Rejects Medicaid Expansion

Republican Wyoming Gov. Matt Mead has said he doesn't want the state to accept federal funding to expand its Medicaid program under the Patient Protection and Affordable Care Act, according to a report from The Washington Post.

OIG: Maryland Claimed Unallowable Payment for Some Medicaid Drugs

Maryland's Department of Health and Mental Hygiene claimed $3.5 million in federal Medicaid reimbursement for physician-administered drugs from 2008 to 2010 that was unallowable because of failure to comply with requirements for billing manufacturers for rebates, according to a report…

South Carolina Officials Forecast 16% Medicaid Enrollment Increase by 2015

Although South Carolina has decided not to expand Medicaid, state officials still predict the program will experience a 16 percent enrollment increase by the end of June 2015, according to a Kaiser Health News report.

Narrow Network Health Plans Face Backlash From State Officials

Officials in a number of states are pushing back against new health plans with narrow provider networks through regulatory action, legislation and other methods, according to a Kaiser Health News report.