Payer

Blue Cross Blue Shield of North Carolina has eliminated LifeBrite Community Hospital of Stokes (N.C.) from its network, according to the Winston-Salem Journal.

CMS sent a letter to companies providing Medicare Part D plans May 17, calling for an end to gag clauses in contracts between insurers, pharmacy benefit managers and pharmacies.

In April, a federal judge denied Blue Cross & Blue Shield of Rhode Island's motion for summary judgment in an antitrust suit filed by Boston-based Steward Health Care. Last week, the judge denied the insurer's request to immediately appeal the…

Cigna and Express Scripts are planning a merger for several reasons, one of them being "the potential entry into the healthcare industry of significant new participants," according to a May 16 Securities and Exchange Commission filing.

New York City-based NYC Health + Hospitals joined Empire BlueCross BlueShield HealthPlus' Medicaid managed care network through a new contract.

Blue Cross Blue Shield of Massachusetts, the state's largest health insurer with 2.8 million enrollees, said its first quarter operating loss stemmed from the ACA's insurer fee and federal tax reform.

An independent federal study found President Donald Trump's planned expansion of short-term health plans will see higher enrollment and cost more than previously predicted, according to The New York Times.

A recent blog post by VisitPay explores some of the challenges in implementing  patient finance platforms and how Intermountain Healthcare is making significant strides forward in addressing these issues.

New York City-based health insurance startup Oscar is expanding into four new markets, the health plan's CEO told Bloomberg.

Historically, risk adjustment and membership growth have been the largest revenue levers for government program payers. But that's evolving. Due to a shifting regulatory landscape, the quality bonus payment is an important new revenue lever.