Utah one step closer to slimmed-down Medicaid expansion—roundup by Paige Minemyer Tuesday, February 12, 2019 Utah's legislators have taken another step toward slimming down the state's voter-mandated Medicaid expansion, plus more insurance news.
Judge denies Oscar’s request for injunction against Florida Blue by Paige Minemyer Friday, February 8, 2019 A Florida judge has rejected Oscar’s request for an injunction to block Florida Blue from reaching exclusive agreements with insurance brokers.
Anthem hit with lawsuit over its ACA plan marketing by Paige Minemyer Tuesday, February 5, 2019 Georgia are suing Anthem, claiming that the insurer misled them about the provider network it would offer through its Affordable Care Act plans.
Hospital credentialing systems no longer enough for payers by Scott Friesen Sunday, February 3, 2019 The square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing.
Fixing provider directory accuracy will be worth the effort by Brian Hoyt Monday, February 11, 2019 Inaccuracies in provider directories cause major barriers to patients. Doing the work to find a solution will be more than worth the effort.
Study: Employers should embrace narrow networks by Paige Minemyer Wednesday, January 30, 2019 Narrow provider networks can offer payers a crucial tool for keeping costs low for employer-sponsored plans, according to a new study.
Humana, Trinity Health reach MA network deal—roundup by Paige Minemyer Wednesday, January 23, 2019 Humana has reached a deal with Trinity Health to include seven hospitals in the payer's Medicare Advantage network, plus more healthcare headlines.
CVS, Walmart reach new multiyear deal by Paige Minemyer Friday, January 18, 2019 Just days after Walmart announced it would pull out of CVS Caremark’s network, the two sides have reached a new contract agreement.
Tenet strikes multiyear deals with Anthem, Humana—roundup by Paige Minemyer Wednesday, January 16, 2019 Tenet Healthcare has reached multiyear agreements with Humana and Anthem, plus more healthcare headlines.
CityMD strikes deal to stay in-network with UnitedHealthcare by Eli Richman Monday, January 7, 2019 The urgent care chain CityMD was at risk falling out of UnitedHealthcare's network. But the organizations struck a deal to avert that scenario.