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Blue Cross Blue Shield
Latest Headlines
Latest Headlines
Study: Multipayer medical home only reaped limited improvements
A multipayer patient-centered medical home pilot in Pennsylvania led to only limited improvements in quality and failed to reduce unnecessary medical utilization, according to an article published in the Journal of the American Medical Association.
Workforce diversity can lead to happier plan members
By maintaining a diverse workforce, insurers can help guarantee their members have good experiences and high satisfaction with interactions, reported Business Insurance.
Incomplete info sets a roadblock to provider use of big data
Healthcare firms are trying to leap from the Stone Age to the Information Age in real time, according to consultant Randy Bean.
What it takes for efficient payer-provider business relations
For the second year in a row, Humana sits in the No. 1 spot out of 148 payers for overall ease of doing business, according to a new report from athenahealth. The annual report collected data from more than 52,000 providers to characterize the ease or difficulty of doing business with each payer.
Lawsuit: HCSC hoarding billions in reserves for execs
Health Care Services Corporation has been hoarding excess profits of almost $5 billion to enrich its executives instead of reimbursing members, alleges a class-action lawsuit against the major insurer.
More women heading health plans
While it's rare to find companies in the business industry where women chair the boards, two of the biggest health insurers in Massachusetts have a Madam Chair, according to the Boston Globe.
Women take leading roles at health plans
While it's rare to find companies in the business industry where women chair the boards, two of the biggest health insurers in Massachusetts have a Madam Chair, according to the Boston Globe.
Insurers to expand exchange offerings next year
The Affordable Care Act was a boon for health insurers, with a strong enrollment surge and more young, healthy consumers signing up. So insurers are preparing to expand their offerings on health insurance exchanges.
Self-insurance popularity sends full-risk enrollment falling
As the self-insurance market continues to rise, commercial full-risk insurance declines. Commercial full-risk enrollment fell from 80.5 million in 2011 to 78.5 million in 2012--a 2.5 percent drop, according to findings from Citi Research.
Don't share same savings twice in value-based contracts
As insurers launch various types of value-based contracts, including accountable care organizations, patient-centered medical homes and bundled payments, could they be paying shared savings for the same patient to more than one provider?