The American College of Emergency Physicians and the Medical Association of Georgia sued Anthem's Georgia subsidiary in a bid to force the insurer to end its controversial emergency department policy.
UnitedHealth Group kicked off the second-quarter earnings season on Tuesday, reporting higher revenue and profit as its insurance arm grew Medicare Advantage and Medicaid membership.
To some, the influx of more for-profit plans in Minnesota adds welcome competition to an already competitive market. But others are wary and cautiously watching to see if the profit motive will endanger patients.
Dr. Craig Samitt, an internal medicine physician and president of Anthem's diversified business group, will take over as Blue Cross and Blue Shield of Minnesota's new CEO on July 30.
Mayo Clinic, Blue Cross of Minnesota add downside risk, cut some prior authorizations in new contract
Mayo Clinic and Blue Cross and Blue Shield of Minnesota have agreed to a five-year contract that includes downside risk, more coordinated care for patients with complex and serious illnesses, and the elimination of some prior authorizations.
Prime Healthcare can challenge Humana's alleged underpayment for healthcare services delivered to Medicare Advantage beneficiaries, a federal court judge said in a potentially precedent-setting ruling.
AHIP's focus on issues like food, housing and transportation—factors experts say have a profound impact on a patient's health—showed insurers are beginning to pay attention to what happens outside of the hospital, even if returns are still hard to measure.
The influx of immigrant children under HHS' care translates into big contracts for providers charged with the children's medical treatment.
New York-based Oscar is bringing its narrow-network exchange plans to Florida, Arizona and Michigan, as well as new metro areas in three states where it already offers insurance, including Ohio, Tennessee and Texas.
Regulators and insurance experts worry the Trump administration's new rule expanding association health plans will spark a surge of insurance fraud and insolvencies that plagued consumers and healthcare providers in the past.
A new analysis in the New England Journal of Medicine found insurers may not offer a set of new benefits outlined in the Chronic Care Act to avoid chronically ill patients from joining their Medicare Advantage Plans.
The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.