East Texas Medical Center in Tyler and Blue Cross Blue Shield of Texas reached a network agreement Thursday, resolving a heated legal battle before it could reach trial, reports Houston Chronicle.
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Amy Dowd, CEO of beWellnm — New Mexico's health insurance exchange — is resigning and taking a position at Long Beach, Calif.-based Molina Healthcare, The Santa Fe New Mexican reported.
Due to losses it shouldered under California's Affordable Care Act exchange, Blue Shield of California will close its doors for the four days following Labor Day to trim its payroll expenditures, the San Francisco Business Times reported.
CMS released data indicating per-enrollee medicals costs in the individual market remained almost unchanged between 2014 and 2015, suggesting a year-over-year improvement of the Affordable Care Act's individual risk pool.
Cigna will cover a prostate cancer test developed by MDxHealth, a Belgian company with headquarters in Irvine, Calif.
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Aetna is addressing a financial roadblock for its employees who recently graduated from undergraduate and graduate programs — student loan debt.
Community Health Options, Maine's only health insurance co-op, is suing the federal government, claiming the U.S. failed to pay the insurer nearly $23 million in payments owed under the Affordable Care Act's risk corridor program, according to the Bangor Daily…
The Maricopa County Superior Court placed Arizona's failed health insurance co-op into receivership in an attempt to collect provider payments from the insolvent insurer, according to the Arizona Department of Insurance.
Referral management is an increasingly important part of managing the patient experience and coordinating care within a clinically integrated network (CIN). Yet, often times, referral workflows and trends are poorly documented and misunderstood.
Birmingham-based Blue Cross Blue Shield of Alabama requested an average 39 percent premium rate increase on its individual plans sold through the state's 2017 health insurance exchange, The Huntsville Times reported.