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How a North Carolina insurer posted what it pays providers on the Web

How a North Carolina insurer posted what it pays providers on the Web

In January, Blue Cross and Blue Shield of North Carolina launched an online site that allows the public to see how much it pays particular providers for certain services. An unexpected group pushed BCBS of North Carolina to expand its price transparency efforts—physicians.


Research

Biotechnology companies, 2015

Biotechnology companies, 2015

A list of the 20 largest biotechnology companies ranked by 12-month revenue as of June 30, 2015. Source: BioPharm Insight. Published Aug. 31, 2015, p. 35.


Insurance

Some Advantage plans lose members

Some Advantage plans lose members

Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.

Government

Whistle-blower in $320 million SCAN case not entitled to cash

The whistle-blower whose case led to a whopping $320 million settlement between the government and SCAN Health Plan in 2012 is not entitled to any of that cash, a federal judge has ruled. Some say the decision could lead to fewer whistle-blowers bringing cases against Medicare Advantage plans.

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