payer-provider collaborations

Latest Headlines

Latest Headlines

Partner with providers to ensure ICD-10 readiness

As insurers prepare to switch to ICD-10, some are shifting their focus to coordinating with providers, particularly small to medium doctor's offices, to ensure a smooth transition next year to the new code set, AIS Health reported.

Aetna: Empower providers with data for ACO success

Aetna has achieved a high level of success through its accountable care organizations in the last few years--but that accomplishment hasn't come by accident. The insurer is keen on implementing...

Florida insurer partners with hospital to expand coverage

Florida's Health First Plans is partnering with Central Florida's largest nonprofit provider to launch a new health plan. By joining forces with Florida Hospital Healthcare System, the insurer could add tens of thousands of new members.

Minn. Blues partners with provider for new narrow network plan

Blue Cross Blue Shield of Minnesota has partnered with Allina Health, one of the state's largest provider systems, to create a new health plan based on interviews with patients and employers about which aspects they don't like in their current coverage.

Highmark success could push insurers to enter provider business

As hospitals make inroads into the health insurance business, insurers are getting more interested in crossing over to the provider side of the industry. The leader, so far, is Pittsburgh-based Highmark, which has invested $1.1 billion into the purchase of West Penn Allegheny Health System.

Do payers share enough data with ACO partners?

Providers are beginning to sound alarms that some payers aren't providing adequate or high-quality claims data, making that information unusable.

ACO success leads to new insurance products

As accountable care organizations (ACO) become more popular and successful, insurers have started launching new products wrapped around the ACO model to further cut costs and recruit new members, reported AIS Health.

Blues plans launch new ACOs in Tennessee, California

Two Blue Cross Blue Shield plans announced Wednesday they will launch new accountable care organizations (ACO) in Tennessee and California.