The parent of Blue Cross & Blue Shield of Illinois, the state's largest insurer, made more than a billion dollars last year, rebounding after three years of Affordable Care Act-related duress.
Illinois' governor has cut off Blue Cross & Blue Shield of Illinois from enrolling patients in the state's revamped Medicaid managed-care program, a blow to the dominant insurer.
A federal judge in Alabama ruled that Blue Cross and Blue Shield plans' practice of creating exclusive territories could directly violate antitrust law.
The Blue Cross and Blue Shield Association has adopted a new standard that opioids should not be the first or second treatment options to manage pain, guidelines lauded by pharmaceutical experts.
Following a financial turnaround in its operations in 2017, Chicago-based Health Care Service Corp. is anxious to promote fresh ideas in containing patient-care costs. It will budget $1.5 billion over the next three years on affordability initatives.
During his six years at the CMS, Dr. Patrick Conway oversaw the agency's big push into value-based reimbursement. While he's now removed from rulemaking, Conway remains passionate about the idea of linking payment to outcomes.
Blue Cross and Blue Shield of North Carolina, the state's largest health insurer, claims the proposed merger of Carolinas HealthCare System and UNC Health Care will drive up prices for patients.
Health insurers are pushing hard for outcomes-based healthcare quality measures.
David Holmberg, CEO of Highmark Health and board chairman of Highmark, said the organization's focus is on driving utilization to the right care setting and addressing costs for all constituents.
Top health plans and providers in California have joined an effort to use a unified, standard set of quality performance measures for accountable care organization reporting and ease the administrative burden on clinicians.
Blue Cross and Blue Shield of Michigan will begin a new policy on Feb. 1 that limits opioid prescriptions to members to 30 days and in some cases five days.
Calling all small businesses with a Blue Cross & Blue Shield of Illinois plan through the Obamacare public health insurance exchange: Look out for an email this week informing you that the state's largest insurer is officially leaving the online marketplace.