Payer

Texas physicians are raising concerns about a new BlueCross BlueShield of Texas policy that may require members who access nonemergent care at out-of-network emergency departments to pay their bills in full, according to Spectrum News Austin.

UnitedHealthcare's bundled payment program for knee, hip and spine procedures has generated about $18 million in employer savings across 115 employers.

The CEO of Nashville, Tenn.-based Envision Healthcare blamed payers for much of patients' confusion about health insurance coverage and billing processes, the Nashville Business Journal reports.

The move to value-based care is not happening tomorrow — it's here today.

New Hampshire is the latest state to win federal approval for its request to implement Medicaid work requirements, according to The Hill.

CMS rejected Kansas' proposal to cap Medicaid benefits to three years in a lifetime, according to The Hill.

Health insurers selling policies on the ACA's marketplace proposed to raise premiums by an average 30 percent for 2019, according to The Washington Post.

A patient's journey through the American healthcare system is difficult to map. However, there is one experience most patients will certainly face: a disconnected and often oppositional relationship between their health insurer and provider.  

Below are three quotes on how health plans are investing their IT dollars from Shashi Yadiki, president of health plans for NTT DATA.

Richmond, Va.-based Bon Secours Health System partnered with VCU Health, also in Richmond, and its subsidiary health plan to offer individual policies on Virginia's ACA health insurance exchange.