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.
A new report that studied 14 Blue Cross and Blue Shield plans covering 37.1 million people found administrative costs grew by 5.9% in 2017, the highest rate since 2013.
Not-for-profit Blue Cross and Blue Shield affiliates scored billions of dollars in tax savings from the Trump administration's Tax Cuts and Jobs Act passed in December 2017, which lowered the corporate tax rate to 21% from 35% and eliminated the alternative minimum tax.
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.
The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.
Blue Cross & Blue Shield of Illinois plans to cut Medicaid reimbursement rates by 35% for medical suppliers—apparently in an effort to win back business after new enrollees were blocked from the state's revamped Medicaid managed-care program.
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.