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A new federal proposal would slash over payments made to Medicare Advantage plans sponsored by employers and unions years after an advisory board recommended the policy. The CMS proposed terminating the bidding process for employers and unions that offer 2017 Medicare...
Citing an estimated $500 million loss last year on health insurance plans sold on the Affordable Care Act marketplace, Highmark Inc. said Friday it plans to reduce what it pays doctors who treat patients with the plans. Highmark plans to reduce payments to the...
When is a loss a gain? It seems the answer is when the loss wasn’t nearly as bad as expected. That’s what major health insurers discovered when the Centers for Medicare and Medicaid Services proposed a slight decline in payments for Medicare Advantage plans. The...
Highmark Inc. is offering a second chance to members who stray out of network, but just once. The health insurer will cover care that is provided out of network just once at lower, in-network rates, spokesman Aaron Billger said. But members will be billed at much...
Supporters of Medicare Advantage program are roundly criticizing President Obama's fiscal 2016 budget plan to slash more than $36 billion in its funding over the coming decade. In a Feb. 2 statement from the Better Medicare Alliance, interim executive director Krista...
Much of the conversation about health care has centered on health-insurance marketplaces and whether or not to expand Medicaid. Far less discussed is a Centers for Medicare and Medicaid Services initiative that some say has the potential to improve the delivery and...
Insurance carriers can become a key distribution point for emerging technologies such as wearables, which in turn can play an important part in emphasizing primary care over costly specialty care as payers seek to drive healthcare costs downward. So said a host of...
Health insurers are experimenting with new formulas for reimbursing doctors and hospitals, slowly moving away from the traditional approach of basing payments on the numbers of tests and procedures performed, according to a survey of Blue Cross insurers, among the...
Hartford health insurer Aetna said it has hired Dr. Harold L. Paz as executive vice president and chief medical officer. Paz, who will join Aetna from his position as CEO of Penn State Hershey Medical Center and Health System, will be in charge of clinical strategy...
Blue Cross Blue Shield of Michigan plans to ask the U.S. Supreme Court to look at a case that's likely to cost the insurer millions of dollars. Blue Cross is accused by an auto parts supplier of charging hidden fees. An appeals court recently affirmed the decision of...
Gov. Tom Corbett's administration said Friday that insurers are showing strong interest in the Republican's plan to extend private health insurance to hundreds of thousands of working poor and pay for it with federal Medicaid expansion dollars. Nine insurers have...
Blue Cross and Blue Shield of North Carolina has shuffled around its organizational structure, consolidating various parts of its business under more defined groupings. The move comes as the state’s largest insurer has expanded partnerships outside its core business...
