UPMC and Highmark, both in Pittsburgh, inked a deal ensuring Highmark policyholders in-network access to UPMC's community and specialty hospitals.
Payer
From UnitedHealthcare mending a seven-month contract dispute with Dayton, Ohio-based Premier Health to Humana Tricare members regaining in-network access to five Dallas-based Tenet Healthcare-owned hospitals, here are five payers making headlines this week.
Wellmark Blue Cross and Blue Shield of South Dakota named Lori Clausen president, effective Jan. 1, according to the Argus Leader.
Blue Cross Blue Shield of Arizona tapped Woodrow Myers, Jr., MD, to serve as CMO and health strategist.
The U.S. Department of Labor proposed allowing health insurance to be sold across state lines through small business or association health plans Thursday.
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CMS issued proposed changes to the way Medicare Advantage beneficiary risk is scored in 2019, which would incorporate mental health, substance abuse disorder and chronic kidney disease into the risk-adjustment model.
CMS approved its first 10-year Section 1115 Medicaid waiver Dec. 28, authorizing Mississippi to continue its family planning waiver through 2027.
Dayton, Ohio-based Premier Health and UnitedHealthcare agreed to a new, multiyear contract, effective Jan. 1.
Fishersville, Va.-based Augusta Health's in-network contract with Anthem expired Dec. 31, according to NBC 29.
Beneficiaries covered under Humana Tricare regained in-network access Jan. 1 to Birmingham, Ala.-based Brookwood Baptist Health's hospitals, outpatient centers and physician clinics, which are owned by Dallas-based Tenet Healthcare.