Newly released audits from CMS reveal 35 of 37 health plans audited for 2007 overcharged the federal government and were typically overpaid by several hundred thousand dollars, according to NPR.
Payer
New York City-based Empire BlueCross BlueShield will offer new health plans for small businesses in the state of New York purchasing health insurance for 2017, the Albany Business Review reported.
Aetna's negotiation tactics are being used by other payers to pressure the U.S. Department of Justice and its legal challenges of insurer mega-mergers, the Corporate Counsel reports.
Ministry St. Michael's Hospital in Stevens Point, Wis., has notified patients with Anthem BlueCross BlueSheild insurance coverage that the hospital could leave Anthem's network when its contract with the insurer expires Sept. 30, reports Stevens Point Times.
The median in-network deductible for employer-sponsored preferred provider organization health plans jumped from $1,000 in 2015 to $1,500 in 2016, or a 50 percent increase, according to new research from United Benefit Advisors.
CMS has released proposed HHS Notice of Benefit and Payment Parameters for 2018.
Atlanta-based Piedmont Healthcare and Minnetonka, Minn.-based UnitedHealthcare have reached a three-year contract agreement to bring all six Piedmont facilities back into UnitedHealthcare's network, reports WTVM.
Health insurance premium rates will rise for more than 75,000 Iowa residents next year after the state's insurance commissioner approved rate requests for four insurers Monday.
New Jersey Gov. Chris Christie (R) said Monday the state's Medicaid expansion allowed more than half a million residents to obtain health insurance, The Philadelphia Inquirer reported.
With 2.3 million Affordable Care Act marketplace enrollees facing the choice of one insurer next year — up 2 million from 2016 — insurer pullbacks may threaten competition in nearly a third of U.S. counties.
