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.
Payer
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…
Ten providers — including Ascension and MaineHealth — recently posted job listings seeking leaders in payer contracting and relations.
Bright Health Group has been warned by the New York Stock Exchange that it might be delisted after the company's average closing price fell below the $1 per share threshold, the Star Tribune reported Dec. 12.
Alaskans spend the most on healthcare every year, while residents of Utah spend significantly less, according to an analysis published Oct. 7 from NiceRx.
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Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model
A group of Democratic senators and representatives are concerned about healthcare organizations with previous allegations of fraud and abuse, including multiple payers, participating in the ACO REACH program.
Two HIV advocacy groups allege Blue Cross Blue Shield of North Carolina is violating antidiscrimination requirements by pricing HIV drugs in high cost-sharing tiers.
The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services (HHS) announcement that enforcement of a key requirement under the act would not start January 1, 2023, as previously scheduled.
Oscar Health will stop accepting new members in Florida through open enrollment on Dec. 13, the company said Dec. 12.
Payers invested in value-based care throughout 2022, teaming up with Walmart and many other companies to prioritize quality-based payments.