Payer

A two-minute document filing delay may have caused Tufts Health to lose a $400 million Medicaid contract, according to CBS affiliate WPRI.

The following payer executive moves have been reported by Becker's in the last two weeks:

CMS released guidance March 22 regarding health plans' payment of health care claims using virtual credit cards (VCCs) and adopted HIPAA standards for healthcare electronic funds transfers (EFT)  and remittance advice (ERA) transactions.  

Nava Benefits has launched a search engine to allow employers to search for employee benefit plans, including health plans.

Following a monthslong contract impasse between Blue Cross Blue Shield of Illinois and Springfield Clinic, Illinois lawmakers are looking to enact harsher penalties for payers that violate the state's insurance code.

The Michigan Legislature passed a bill March 24 that aims to reform the state's prior authorization process.

From an appellate court reversing an order that would require UnitedHealth Group to reprocess thousands of denied claims, to former Molina employees suing the company over alleged Employee Retirement Income Security Act violations, here are five recent legal actions involving…

Highmark Health confirmed a recent data breach of its computer network, according to a March 23 report from JD Supra. 

Delaware's chancellor declined to dismiss a lawsuit that seeks the release of $51 million from a post-merger escrow amid allegations that an Anthem subsidiary wrongfully held the funds, according to Law360.

America's Physician Groups and America's Health Insurance Plans are among the organizations throwing support behind UnitedHealthcare's effort to have the Supreme Court reverse a federal appellate court's decision regarding Medicare overpayments, Law360 reported March 23.