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Category: Payor

Payor

Blue Cross and Blue Shield Influence Waning with North Carolina Lawmakers

Blue Cross and Blue Shield of North Carolina is used to having considerable clout in the legislature. Although the state’s largest health insurer hasn’t always gotten its way, for years …

Payor

Blue Cross Blue Shield Online Tool Tracks Health-Care System

The Blue Cross Blue Shield of Massachusetts Foundation said last week it has launched an online tool that allows users to track the changing makeup of the state’s health-care delivery …

Payor

Highmark fined $50,000 by Pa. Insurance Department

Highmark Inc. has been fined $50,000 by the state Insurance Department for minor violations relating to denying claims. The Pittsburgh Pennsylvania based health insurer disputed the findings of the 2-year …

Payor

Montana’s Largest Health Care Company may Sell, $120 Million on the Table

Blue Cross Blue Shield of Montana is in the process of merging with Health Care Service Corporation. According to state law, when an insurance company sells its assets like this, …

Government / Payor / Regulations / Reimbursement

Deadline Approaching for Competitive Bidding Grandfathering Notification

The Centers for Medicare & Medicaid Services (CMS) states: “Non-contract suppliers must provide written notification of their decision whether to be a grandfathered supplier to all of their Medicare beneficiaries …

Payor / Provider

Contract Between Aetna and Carolinas HealthCare System Puts More Focus on Quality of Care

Aetna health insurance company and Carolinas HealthCare System, the largest hospital group in the Carolinas, recently signed a contract intended to control health care costs by better coordinating patient care. …

Government / Payor

UnitedHealth May Have to Reimburse Pentagon for Medical Care Delays

UnitedHealth Group may have to reimburse the federal government part of a $20.5 billion military contract due to delays in delivering medical care. Bloomberg reports that the U.S. Defense Department …

Payor

Cigna Policy Updates: Electrical Stimulation and Advance ROM Effective May 20th.

Cigna has updated the Electrical Stimulation and Advance ROM medical policy effective May 20, 2013. The original effective date of May 15th was delayed. Neuromuscular Electrical Stimulation (NMES) • Cigna …

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