Members of the Tennessee United States Congressional delegation today called on the administration "to provide details on its policy of awarding Medicare contracts to businesses not licensed in Tennessee, a violation of the administration’s bid policy and a violation...
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Blue Cross of Vermont Opens Health Exchange Education HQ
One out of every six Vermonters, about 100,000 people in a state of 630,000, must switch the way they enroll and buy for health insurance this fall with the opening of a federally mandated online marketplace called Vermont Health Connect. It’s a massive change...
3 Companies to Offer Insurance in Montana Federal Insurance Marketplace
Three health insurance companies plan to sell health insurance through the federal insurance marketplace in Montana. Montana Insurance Commissioner Monica Lindeen says Blue Cross Blue Shield of Montana, PacificSource Health Plans and the Montana Health CO-OP filed...
Blue Cross and Blue Shield Influence Waning with North Carolina Lawmakers
Blue Cross and Blue Shield of North Carolina is used to having considerable clout in the legislature. Although the state’s largest health insurer hasn’t always gotten its way, for years it has negotiated behind the scenes to mold bills more to the company’s liking....
Blue Cross Blue Shield Online Tool Tracks Health-Care System
The Blue Cross Blue Shield of Massachusetts Foundation said last week it has launched an online tool that allows users to track the changing makeup of the state’s health-care delivery system. The foundation added its new website provides easy access to information...
Highmark fined $50,000 by Pa. Insurance Department
Highmark Inc. has been fined $50,000 by the state Insurance Department for minor violations relating to denying claims. The Pittsburgh Pennsylvania based health insurer disputed the findings of the 2-year review, but says it will review its claims procedures anyway....
Montana’s Largest Health Care Company may Sell, $120 Million on the Table
Blue Cross Blue Shield of Montana is in the process of merging with Health Care Service Corporation. According to state law, when an insurance company sells its assets like this, its reserve account must be used to create a non-profit foundation. Think of the reserve...
Deadline Approaching for Competitive Bidding Grandfathering Notification
The Centers for Medicare & Medicaid Services (CMS) states: “Non-contract suppliers must provide written notification of their decision whether to be a grandfathered supplier to all of their Medicare beneficiaries who reside in a competitive bidding area (CBA) and...
Contract Between Aetna and Carolinas HealthCare System Puts More Focus on Quality of Care
Aetna health insurance company and Carolinas HealthCare System, the largest hospital group in the Carolinas, recently signed a contract intended to control health care costs by better coordinating patient care. It’s part of a slowly unfolding national movement away...
UnitedHealth May Have to Reimburse Pentagon for Medical Care Delays
UnitedHealth Group may have to reimburse the federal government part of a $20.5 billion military contract due to delays in delivering medical care. Bloomberg reports that the U.S. Defense Department says it may seek reimbursement under the six-year Tricare contract,...
Cigna Policy Updates: Electrical Stimulation and Advance ROM Effective May 20th.
Cigna has updated the Electrical Stimulation and Advance ROM medical policy effective May 20, 2013. The original effective date of May 15th was delayed. Neuromuscular Electrical Stimulation (NMES) • Cigna covers neuromuscular electrical stimulation when used as one...
Highmark Deal to Infuse Forbes with $20 Million of Improvements
Four days after the announcement of a landmark deal between Highmark Insurance and West Penn Allegheny Health System, Dr. Mark Taylor said he was “still glowing.” Taylor is chief of anesthesia at Forbes Regional Hospital, where Highmark has invested $20 million toward...