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.
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.
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.
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...
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.
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.
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,
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
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
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