Tag:
payer-provider relationships
Latest Headlines
Latest Headlines
Hospitals slam Highmark for limited network plan
As insurers continue launching health plans built around limited networks, some hospitals are fighting back after being excluded from these networks. Highmark is facing such pushback in a very public forum.
WellPoint's primary care program gets warm reception from docs
Ever since WellPoint launched its unique and innovative patient-centered primary care program in January, the nation's second largest insurer says doctors already are providing positive...
Survey: Cigna, Blues plans rank most favorable insurers among hospitals
Cigna and independent Blue Cross Blue Shield plans are considered the most favorable insurers among hospital and health system leaders, while WellPoint and UnitedHealthcare, on the other hand, are ranked the worst insurers to do business with, according to new survey of hospital leaders.
Fierce Q&A: Optimize provider networks to drive quality care
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...
HealthPartners merger creates payer-provider powerhouse
Payers and providers continue aligning to form mega health systems. For example, HealthPartners, the third largest insurer in Minnesota, is merging with health system Park Nicollet Health Services.
Drop the poker face and play nice with providers
Relationships between payers and hospitals (or any provider for that matter) shouldn't be akin to a high-stakes poker match where all players wear dark sunglasses, hide their intentions and...
WellPoint is most difficult to work with, hospital execs say
Of the six largest for-profit insurers, WellPoint came in last place as hospital executives gave it low marks for rejected claims and wrongly-denied bills, according to a survey of more than 400 hospital execs.
HMO Group Health, Providence Health launch single delivery network
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.
Highmark trying to 'destroy' health system after failed alignment
Highmark is using "predatory" tactics to "destroy" a three-hospital health system in Pennsylvania that declined to align itself with the market-leading insurer, officials claimed during a state Senate hearing Wednesday.
Aetna-provider plan offers price guarantees to stay competitive
Aetna is partnering with the nation's 10th largest provider group to sell new health plans that offer price guarantees for employers and limits members' premium increases.
