Payment reform likely will continue regardless of the U.S. Supreme Court's decision on the constitutionality of the reform law. So if payers want to remain competitive, they will have to adjust their payment strategies going forward.
Anthem Blue Cross Blue Shield is investigating whether several weight-loss surgery centers have been involved in health insurance fraud, Anthem spokesperson Darrell Ng confirmed to FierceHealthPayer.
California state regulators ordered Anthem Blue Cross Blue Shield on Thursday to pay providers for outstanding claims owed during the last four years. However, Anthem is pushing back and might not
Middletown, CT-based Middlesex Hospital will not accept insurance from Anthem Blue Cross Blue Shield members as of May 1 unless a new agreement is reached. In recent days, negotiations over terms and