Tag:
payer-provider relationships
Latest Headlines
Latest Headlines
Highmark-West Penn merger sets precedent for payer-provider deals
The U.S. Department of Justice's recent approval of the affiliation agreement between Highmark and Pennsylvania's West Penn Allegheny Health System--a takeover of WPAHS by the insurer--should provide
Blues, provider let employers customize health plans
BlueCross BlueShield of Western New York is teaming up with the region's largest provider system to offer self-insured employers with new tailored networks, in hopes of providing more efficient care
Aetna supports Highmark-West Penn acquisition with limits
Insurers in Pennsylvania support Highmark's proposed acquisition of West Penn Allegheny Health System (WPAHS), as long as state regulators take steps to limit Highmark's current market...
Highmark-West Penn merger won't limit competition
Highmark can move forward with its $475 million acquisition of West Penn Allegheny Health System (WPAHS) now that a Department of Justice (DOJ) investigation has concluded that the affiliation won't
Aetna launches automated bundled payments at health center
Aetna is implementing an automated bundled payment model at a southern California orthopedic center. The insurer hopes the move will encourage evidence-based care while reducing complications and...
Blue Shield seeks $10.5M from rival UnitedHealth doc group
Blue Shield of California is seeking $10.5 million in damages from Monarch HealthCare, claiming its contract was violated after rival insurer UnitedHealth purchased the large doctor group. In its
Highmark buys provider group, invests $20M to upgrade failing hospital
Highmark is investing $20 million to upgrade a Pittsburgh-area hospital, the insurer announced Wednesday. Forbes Regional Hospital in Monroeville is getting a facelift, including new signage to
Blue Shield claims hospitals joined forces to drive higher rates
Blue Shield of California is publicly calling out UCLA Medical Center for causing an impasse in contract negotiations. Since the insurer has voluntarily capped its profits at 2 percent, it has
Highmark sells Medicare claims business to prevent conflict of interest
Highmark is selling its Medicare claims processing business to avoid any conflict-of-interest issues related to its purchase of West Penn Allegheny Health System (WPAHS). Blue Cross Blue Shield of
Blues, Beaumont dispute contract rates, risk value-based care
Blue Cross Blue Shield of Michigan's attempt to lower costs by incentivizing quality is hitting a roadblock as contract negotiations with Beaumont Health System continue to break down. The outcome of
