Tag:
Provider Networks
Latest Headlines
Latest Headlines
Lawsuit accuses Blues plan of blocking failed hospital deal
Blue Cross Blue Shield of Rhode Island blocked a deal between Steward Health Care System and Landmark Medical Center by not negotiating reasonable payments, Steward alleged in a lawsuit against the insurer.
Anthem to pay doc $3.8M for wrongful exclusion from network
A California court has decided that Anthem Blue Cross must pay a physician $3.8 million for wrongfully excluding him from its network--a verdict that could affect insurers' future decisions regarding provider networks.
Can narrow networks boost exchange coverage?
As insurers prepare to sell plans through health insurance exchanges, they're hoping narrow network plans will appeal to a large number of new consumers.
Fierce Q&A: Optimize provider networks to drive quality care
I'm sure anyone reading FierceHealthPayer over the last few years has noticed a constant thread throughout many of the articles and editorials. Namely, that payers and providers must work...
HMO Group Health, Providence Health launch single delivery network
Seattle-based HMO Group Health is joining forces with 32-hospital system Providence Health & Services to create what they hope will be more efficient, coordinated healthcare through a new medical limited liability corporation.
Highmark gains control in $200M hospital deal
As part of its plan to create a statewide health information network, Highmark said it's acquiring a controlling interest in Pennsylvania community hospital, Jefferson Regional Medical Center, in a "strategic partnership" valued at more than $200 million.
Health insurance exchange final rule: Insurers must justify rates
The U.S. Department of Health & Human Services is giving states "substantial flexibility" to operate health insurance exchanges (HIX), including certifying and comparing qualified health plans,
Consumer choice, performance measurement are top challenges for ACOs
Meeting accountable care initiatives under the healthcare law is presenting challenges for its accountable care organization participants. Even though the Centers for Medicare & Medicaid Services
Community Health Systems forms 8-hospital network
Eight Northeastern Pennsylvania hospitals owned by Tennessee's Community Health Systems have formed a new regional health system called Commonwealth Health to unite resources, information and
Update insurance exchange to win over consumers
With the introduction of health insurance exchanges coming in 2014, insurers will be facing a whole new challenge: learning how to compete directly for consumers' business. A key step to succeeding
