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Kathleen Sebelius - 9 People to Watch in Healthcare

Name: Kathleen Sebelius Location: Topeka, Kansas Profession: Secretary of the Department of Health and Human Services; former governor of Kansas Fast facts: Before being confirmed by the Senate as... Read more...

Medicare audits find $12M in erroneous claims by dialysis centers

The feds have found $12 million in mistaken claims filed by dialysis centers in West Virginia and Delaware, two hospitals in Pennsylvania, Blue Cross Blue Shield of Kansas and duplicate billings for... Read more...

Health insurers take ratings hit from Fitch on reform fears

No one's really sure how health reform will impact the health insurance industry. But it seems that as far as the financial sector is concerned, the impact isn't likely to be good. In one striking... Read more...

Blue plans in five states join to share healthcare cost info

A group of five large Blue plans have come together to share healthcare cost data and allow their 48 million beneficiaries to compare costs between providers. Participants include WellPoint, Blue... Read more...

BCBS MI, state attorney general, consumers at odds over rate hikes

Last week, Blue Cross Blue Shield (BCBS) of Michigan filed a rate increase request with the state that could raise rates for individual plans by more than 70 percent. The proposed rate hikes could... Read more...

Private health insurers agree to revise pricing, eligibility for pre-existing conditions

Two leading health insurance groups, The Blue Cross Blue Shield Association and America's Health Insurance Plans (AHIP) arguably made an effort to slow momentum for a government run health plan that... Read more...

MD insurance commissioner seeks CareFirst audit

For some time now, critics in Maryland and Washington, D.C. have argued that local health plan CareFirst BlueCross BlueShield was maintaining too large a reserve to fit its non-profit mission. Now,... Read more...

BCBS partners with Zagat to expand physician ratings

Physicians, brace yourselves: Zagat, which publishes dining guides, is partnering with more BCBS to rank doctors. And if this move to treat doctors' offices like restaurants is not enough, the... Read more...

Trend: Insurers creating more HSAs as industry grows

The money coming from the "health/wealth" market is expected to increase over the coming years: some experts predict the market could reach $40 billion in the next five years. So it's little surprise... Read more...

Health insurers harness consumers to drive prices down, quality up

A few health insurer organizations, like UnitedHealth Group subsidiary OptumHealth and the national Blue Cross Blue Shield Association, are making new efforts to harness the power of their consumers... Read more...