A federal appeals court on Wednesday ruled that Blue Cross and Blue Shield insurers must defend themselves on much less favorable legal grounds against a major class-action case accusing them of anticompetitive practices.
Blue Shield of California has quietly scaled back the national Blue Card program that has allowed its members to receive a range of services out of state in an effort to reduce costs.
The on-demand transportation company, like its primary competitor, Uber, thinks it can make a dent in the transportation problems that lead to missed appointments.
New York-Presbyterian is struggling to reach an agreement to remain in the Empire Blue Cross and Blue Shield network. If the two sides can't agree before Jan. 1, New York-Presbyterian estimates that about 300,000 patients could face higher charges next year.
In 2017, brand-name prescription drugs made up only 17% of total prescriptions filled but represented 79% of total drug spending, according to an updated study from the Blue Cross and Blue Shield Association.
Insurance startup Oscar Health is suing Florida's Blue Cross and Blue Shield affiliate for allegedly prohibiting insurance brokers who sell Florida Blue individual plans from selling competing insurers' coverage.
Blue Cross and Blue Shield of Massachusetts is testing out giving large employers opioid-overdose reversal kits and teaching employees how to use them, in hopes of preventing overdose deaths in both public spaces and work environments.
Blue Cross Blue Shield of Michigan has approved a plan to contract with St. Louis-based Express Scripts for its retail commercial business in Michigan. The contract is effective Jan. 1.
Mayo Clinic, Blue Cross of Minnesota add downside risk, cut some prior authorizations in new contract
Mayo Clinic and Blue Cross and Blue Shield of Minnesota have agreed to a five-year contract that includes downside risk, more coordinated care for patients with complex and serious illnesses, and the elimination of some prior authorizations.
Blue Cross and Blue Shield of Illinois blinked after healthcare providers and parents of autistic children complained about proposed cuts in reimbursement rates for coverage of in-home counseling.
Modern Healthcare reporter Tara Bannow is attending the Healthcare Financial Management Association's annual conference in Las Vegas this week, an annual gathering of system financial leaders and vendors who provide products for revenue cycle management, data analytics and other services.
Health insurers have been buying physician practices for decades. The Affordable Care Act was expected to prompt a surge of such purchases. While that never fully materialized, some pretty significant deals emerged.