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These nine contract resolutions and dissolutions occurred between payers and providers since early September, beginning with the most recent: 1. Humana and Egg Harbor Township, N.J.-based AtlantiCare signed an...
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Employers can get involved in equalizing private payer rates with Medicare reimbursement rates by re-evaluating their contract negotiation process and reforming their benefits. Private payers are paying...
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Bright Health, a Minneapolis-based company offering health plan products and clinical care delivery services, has raised $500 million in Series E funding. Investors include funds and accounts advised by Tiger...
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COVID-19 has significantly impacted both the health & well-being of the population and the economies of the world. For U.S. health insurance companies, the repercussions of the virus became evident late in...
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Health plans and pharmacy benefit managers need to be preparing now for the next wave of high-priced specialty drugs coming through the drug development pipeline, according to a new report. Optum has released...
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The Core Quality Measure Collaborative’s four updated quality measures shed light on essential payer quality measures and may guide payers through the quality measure selection process. The Core Quality...
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For more than a year a state work group has explored the idea of a universal healthcare system in Washington state with forthcoming recommendations for the state legislature to consider. However, a persistent...
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A bill introduced last week on Capitol Hill would prompt payers to cover any telehealth services if those services are also furnished in person. The latest bill introduced on Capitol Hill aims to level the...
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BlueCross BlueShield of Tennessee and Cigna will pay out individual and small group rebates to 143,000 members. Major payers are beginning to send out individual and small group rebate checks for 2019,...
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CMS sent a warning notice to Vermont last week calling for a reboot of its all-payer model, which hasn’t met its participation or savings goals, according to the VT Digger. Under Vermont’s...
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