CSC Provides NCTracks Claims Processing Update
NCTracks Claim Processing Update Provided directly by CSC. Today marks the beginning of the second week of operations for NCTracks, the new claims processing system for the North Carolina Department …
Western Health Advantage lands health benefits program for Elk Grove schools
Western Health Advantage displaced Health Net for a spot next to Kaiser Permanente in the health benefits program offered by the Elk Grove Unified School District, effective Monday. The school …
Aetna Revises DME Policies for TENS
Aetna Health Plan has revised their TENS policy effective 6/25/2013 to state that TENS is considered experimental and investigational for chronic low back pain. Change in Stance Aetna now considers …
Many States Handing High-Risk Insurance Programs to Federal Govt.
Pennsylvania and 16 other states are handing over their special insurance programs for people with pre-existing health conditions to the federal government Monday. Consumers enrolled in the so-called high-risk pool, …
Highmark, UPMC align arguments against anti-trust lawsuit
Highmark and UPMC argued on Monday that a federal judge should throw out an antitrust case filed by insurance premium payers because even if they could prove collusion between the …
Blue Cross Blue Shield of NC Report it has Exceeded Health Care Spending Benchmarks
Blue Cross Blue Shield of North Carolina reported Thursday that it had exceeded health care spending benchmarks by spending 87 percent of premium revenues on paying for care for its …
Highmark Invests $11 million in Partnership with CMU
Health insurer Highmark Inc. and its affiliated hospital network will invest $11 million to further develop a laboratory meant to improve health care through science and engineering in conjunction with …
Highmark and UPMC Battle of Patients
UPMC could lose $1.2 billion in annual revenue in its contract fight with Highmark Health Services. With that kind of money at stake, why would Western Pennsylvania’s largest hospital network …