Health insurer Anthem failed to comply with some federal coding requirements, resulting in overpayments of $3.47 million, according to a May 24 inspector general report.
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Blue Cross Blue Shield of North Carolina and Asheville, N.C.-based Mission Health signed long-term agreements making Mission Health the latest healthcare system to join the Blue Premier value-based program, which launched in 2019, as well as bringing Mission into the…
Private insurance companies are expected to provide $2.1 billion in rebates to 10.7 million policyholders, the second-highest amount issued under the Affordable Care Act, according to Yahoo Finance and the Kaiser Family Foundation.
Michigan members of Blue Cross Blue Shield Medicare Advantage PPO will have access to Grand Rapids, Mich.-based Spectrum Health starting July 1, according to MiBiz.
Tennessee Attorney General Herbert Slatery filed a motion last week to intervene in a federal lawsuit that challenges the state's Medicaid block grant waiver, according to The Center Square.
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"From Payor to Healthcare Partner," a paper published by KPMG earlier this week, discusses pandemic-driven trends and issues facing health plans.
A bill that would have allowed people in Kansas to buy short-term health plans for two additional years was vetoed by the state's governor May 20.
A six-month contract impasse between New York City-based Montefiore Medical Center and UnitedHealthcare still is affecting tens of thousands of patients, according to City Limits.
Although lowering the Medicare eligibility age from 65 to 60 could provide an additional 24.5 million individuals with coverage, the expansion could make premiums less affordable for some, an Avalere study found.
The federal and California labor departments are urging a federal appeals court to uphold a court order against UnitedHealth Group that requires the payer to reprocess 67,000 claims after it denied mental health and substance abuse coverage to members, according…