A big player in western Pennsylvania’s health insurance market has big plans. United Healthcare will significantly grow its accountable care contracts over the next five years across its employer-sponsored, Medicare and Medicaid health benefit businesses, the...
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Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Payor
WellPoint fined $1.7 million for exposing health data on Internet
Health insurer WellPoint Inc agreed to pay a fine of $1.7 million for allowing health and other personal information from hundreds of thousands of people to be accessed over the Internet, the U.S. Department of Health and Human Services said on Thursday. Security...
Blue Cross Health Insurance Outreach Campaign Gaining Ground
More than 110 organizations statewide including civic groups, churches and physician groups have joined a Blue Cross and Blue Shield of Texas campaign to educate and enroll Texans who don't have health insurance. The goal is to reach all of the more than 6 million...
Blue Cross and Blue Shield of Minnesota Turns to Gamification to Help Consumers Manage Their Healthcare Costs
Registration rates for pilot program with Change Healthcare 90 percent higher than expected; users award platform high marks for overall satisfaction Game mechanics - including points, badges and leader boards - may be a key to controlling rising healthcare costs, say...
BCBSM: “Medical Home” Model Saves Time, Money
Doctors who have transformed their practices to "patient-centered medical homes" have improved patient care while providing savings. According to an analysis by Blue Cross Blue Shield of Michigan, doctors that adopted the "medical homes" practice model, which involves...
Digital Insurance Names Brian Melanson Senior Vice President, Strategic Channel Partnerships
Digital Insurance appointed Brian Melanson senior vice president of strategic channel partnerships. Leveraging his industry experience and strong carrier connections, Melanson is responsible for optimizing the company’s proven infrastructure with carriers, retailers...
NCAMES: NCTracks Update July 9th 2013
The great team at NCAMES has been keeping in close contact with CSC. Earlier today the following email correspondance was received by NCAMES from CSC regarding NCTracks system issues and claims processing. NCTracks Update Many of you may have heard the good news-that...
Are Fixed payments a barrier to quality of care in HMOs
Ever since the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the number of enrollees in Medicare Advantage, Medicare's managed care program, has jumped from 5.3 million to 14.4 million in 2013. While most individuals in Medicare opt for the...
NCAMES: NCTracks Update
NCAMES continues to work with DMA and CSC regarding technical issues and system performance incosistancies with NCTracks Claims Processing System and here is the latest: 1. Though CSC is in process to add additional call center staff to help handle the volume of...
Blue Cross Blue Shield of Michigan saves estimated $155M over three years
Blue Cross Blue Shield of Michigan saved an estimated $155 million over the first three years of its Patient-Centered Medical Home program, based on calculations made from an analysis published this month in the Health Services Research Journal. The analysis also...
Vermont Announces rates under Health Exchange
Vermont regulators have announced monthly rates for health insurance to be sold under Vermont Health Connect, the health insurance exchange being set up to comply with the federal Affordable Care Act. Rates being offered for the benchmark so-called "silver plan" for...
CSC Provides NCTracks Claims Processing Update
NCTracks Claim Processing Update Provided directly by CSC. Today marks the beginning of the second week of operations for NCTracks, the new claims processing system for the North Carolina Department of Health and Human Services (DHHS). We have processed over two...