Tagged with BCBS Blue Cross Blue Shield
Delaware’s Department of Health and Social Services (DHSS) has announced the names of the companies selected to operate its Medicaid Managed Care Program (MCO) in 2018
Effective December 15, Blue Cross and Blue Shield of Illinois (BCBSIL) will implement edits to validate National Drug Code (NDC)s that are submitted on electronic and paper, professional and institutional Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) claims.
Florida state officials have announced submission of the proposed rates for 2018 ACA plans. According to the announcement, premiums may increase by 44.7% next year for ACA compliant plans.
A medical policy from Blue Cross Blue Shield of Michigan sets the insurer apart as the first commercial payer to issue a positive coverage policy for a new lumbar spinal stenosis treatment.
The Office of the Health Insurance Commissioner approved health insurance premium rates in Rhode Island for 2018 that include exchange plan rate increases ranging from 5% to 12.1% for 2018.
The New York Department of Financial Services has released 2018 health insurance rates for the state’s individual and small group markets, including rates for the NY State of Health, New York’s official health plan marketplace – ranging from 4.4% for Excellus to 31.5%.
Anthem Blue Cross and Blue Shield released updated medical policies and clinical guidelines to be implemented on November 1, 2017 in certain states.
Blue Cross Blue Shield of Massachusetts (BCBSMA) has posted a new version of the Outpatient Surgical Day Care list intended to help providers determine the most appropriate setting for services receive.
Harvard Pilgrim, Maine Community Health Options, and Anthem Blue Cross Blue Shield are each requesting double-digit rate increases for 2018. The three insurers cite political uncertainty and a higher percentage of unhealthy policyholders as reasons for their requests.
Anthem Blue Cross Blue Shield has announced it will leave the Affordable Care Act market in Ohio in 2018 and will reduce its footprint in the state to one off-exchange product in one county.
For the first time since 1990, the Illinois Department of Insurance will conduct a broad market examination of Blue Cross and Blue Shield of Illinois to see how the insurer treats its customers in compliance with consumer protection regulations.
New Jersey is perusing increased oversight of the state’s largest health insurer, Horizon Blue Cross Blue Shield, after the Horizon Foundation for New Jersey declined to add $300 million to the state addition-treatment fund.
Aetna has announced plans completely withdraw from the ACA insurance exchanges for 2018, citing financial losses as the deciding factor, specifically its individual commercial products lost nearly $700 million between 2014 and 2016 and could lose another $200 million this year.
Applicable to the technical component, claims billed with modifier FX to indicate X-ray imaging services were provided using film reduces will be subject to a 20% reduction.
The Delaware Department of Insurance is investigating a security breach involving subcontractors of Highmark BlueCross BlueShield of Delaware: Summit Reinsurance Services Inc. and BCS Financial Corp.
A new study from Harvard Medical School claiming to have found “meaningful” improvements in quality, outcomes, and spending for all patients in the Alternative Quality Contract (AQC) between suggests binding insurers’ physician payments to quality metrics can narrow disparities between low- and higher-income patients.
A recent analysis by the University of Wisconsin Applied Population Laboratory showed that 94.3% of the state’s population had health insurance in 2015. Ranking seventh in percentage of residents covered across all states. According to HHS Regional Director Kathleen Falk, within the first month of 2017 open enrollment approximately 66,000 people in Wisconsin signed up for plans.
Blue Cross and Blue Shield of Western New York (BCBSWNY) says their 2017 plans will offer stable rates and a range of options for seniors, as well as support needed to make the most educated decision.
Eleven private insurers have joined forces in seeking action from the Congressional Budget Office (CBO) to expand data collection when scoring congressional proposals to include telemedicine data from non-Medicare sources as a means to support value-based care efforts.
CMS has announced a temporary freeze on new proposals from health insurance companies pursuing automatic enrollment of commercial or Medicaid patients into Medicare Advantage plans.