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.
Paul Markovich has been elected chairman of the Blue Cross and Blue Shield Association, a federation of 36 independent Blues companies.
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.
Anthem Blue Cross and Blue Shield says it will not sell health insurance plans statewide, leaving just one insurance provider for each county on Kentucky's health exchange.
For the patients who have used the patient wellness app, it has lowered annual disease-related hospital costs by 64% and lowered the overall cost of care by 25%. "And the patients are happier," the creator said.
The insurer chose to lower its initital individual rate increase request, saying the insurance market is less "volatile" now and marketplace members are using fewer healthcare services.