by Keith Kuhn | Jun 6, 2014 | Payor
There’s a big management change coming at Highmark. Out is Dr. Will Winkenwerder, who has served as president and CEO for the last two years, and in is David Holmberg, who has run Highmark’s for-profit businesses and been with the company since 2007. Winkenwerder, a...
by Keith Kuhn | Jun 5, 2014 | Payor
UnitedHealth Group Inc., once leery of Obamacare’s new health insurance exchanges, is starting new plans in at least two states as competition grows stiffer in the government-run marketplaces. In Washington state, four insurers plan to sell for the first time on the...
by Keith Kuhn | May 23, 2014 | Industry, Government, Reimbursement
Yesterday afternoon, AAHomecare received an advance copy of a proposed rule for prior authorization of DMEPOS items in Medicare Part B. In this proposed the rule, CMS is soliciting public comments on establishing criteria for a master list of durable medical...
by Keith Kuhn | May 23, 2014 | Government, Reimbursement
CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary...
by Keith Kuhn | May 2, 2014 | Payor
Kaiser Permanente and Blue Shield of California have contributed $23.8 million to defeat a November ballot initiative that would allow California’s insurance commissioner to deny health premium increases seen as excessive. The funding went to Californians...
