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21 Aug 2013, 9:09 am
In fact, the Alabama Supreme Court, in Roberts v Univ. of Alabama Hospital, held that the amounts a hospital accepts as full payment from Blue Cross and Blue Shield, Medicare and Medicaid are not relevant when considering whether the hospital’s charges are reasonable. [read post]
21 Aug 2013, 9:09 am
In fact, the Alabama Supreme Court, in Roberts v Univ. of Alabama Hospital, held that the amounts a hospital accepts as full payment from Blue Cross and Blue Shield, Medicare and Medicaid are not relevant when considering whether the hospital’s charges are reasonable. [read post]
21 Aug 2013, 7:31 am
Golchin had a health insurance policy with Blue Cross Blue Shield, which paid her medical bills (expenses totaled $100,883, but Blue Cross actually paid $32,033). [read post]
19 Aug 2013, 4:33 am
Boniello, III Medicare-eligible retirees of the Niagara Falls City School District [Plaintiffs] sued the school district alleging that the School District had diminished their health insurance benefits by placing them in the "Blue Cross/Blue Shield Forever Blue Medicare PPO 799 Plan" (Forever Blue Plan) without making a similar change in the health insurance plan in which the school district's active employees participated. [read post]
15 Aug 2013, 11:51 am
Case in point: Blue Cross Blue Shield (NC). [read post]
13 Aug 2013, 9:54 am
Ultimately, all employees had the option to select from four health plans; however, employees residing in the designated ZIP codes were excluded from a Blue Cross Blue Shield “BlueSelect” HMO plan and the Blue Cross Blue Shield “BlueChoice” POS plan. [read post]
27 Jul 2013, 2:59 pm
According to Commissioner Jones, “Their departure means less choice, less competition, and more market consolidation by the remaining big three health insurers - Anthem Blue Cross, Blue Shield of California, and Kaiser - which means an increased likelihood of even higher prices from those health insurers downstream." [read post]
12 Jul 2013, 3:02 pm
With this penalty, WellPoint joins the ranks of CVS Pharmacy, Alaska Department of Health and Human Services, Massachusetts Eye and Ear Infirmary and Blue Cross Blue Shield of Tennessee, all of whom have paid penalties over $1.5 million to HHS for HIPAA privacy and security violations since 2009. [read post]
10 Jul 2013, 5:13 am
In her blue dress with a large gold cross hanging outside of it, she says matter-of-factly that while people are happy when he was elected, they want Mohammed Morsi out because in a year, he hasn’t done anything. [read post]
24 Jun 2013, 11:47 am
It will surprise no one that that carrier is Anthem Blue Cross/Shield.■ FoIB Jeff M tips us that North Carolina's public Exchange is faring little better:"Individuals buying health insurance coverage on new online exchange marketplaces beginning this fall will be choosing from products from only two or three carriers"And businesses in the Tar Heel State will have similar lack of variety in the small group Marketplace: thus far, only the ubiquitous Blues are… [read post]
15 Jun 2013, 5:16 pm
To study the likely costs of plans on the Georgia insurance exchange, the AJC selected one proposed plan from the gold, silver and bronze tiers offered by Blue Cross and Blue Shield of Georgia. [read post]
13 Jun 2013, 12:45 pm
Bailit's study, shared on Tuesday at the National Bundled Payment Summit in Washington, DC, highlights two successful case studies that have moved a bundled payment program from a pilot stage to a permanent reimbursement strategy: Blue Cross Blue Shield of North Carolina (BCBSNC) and Horizon Healthcare Services, Inc. [read post]
7 Jun 2013, 1:51 pm
Effective September 1, 2013, Blue Cross Blue Shield of Michigan (BCBSM) will implement a new Prescriber Prescription Block Policy. [read post]
30 May 2013, 12:16 pm
With funding provided by Empire Blue Cross Blue Shield, Parks will staff locations throughout the city with trained walking instructors to lead one-hour walks." [read post]
29 May 2013, 9:15 am
A decision last week out of the United States District Court for the District of Rhode Island, Blue Cross & Blue Shield of Rhode Island v. [read post]
28 May 2013, 9:00 am
On May 10, 2013, the Treasury Department and IRS released the draft regulations, "Computation of, and Rules Relating to, Medical Loss Ratio", which are intended to help Blue Cross and Blue Shield ("BCBS") organizations comply with the Medical Loss Ratio (“MLR”) rules created by the PPACA. [read post]
28 May 2013, 7:42 am
The following insurers have indicated they will participate in the Georgia HIX: Blue Cross and Blue Shield of Georgia, Kaiser Foundation Health Plan, Peach State, Alliant, Coventry, Aetna and Coventry. [read post]
25 May 2013, 6:55 am
Aetna, Alliant, Blue Cross and Blue Shield of Georgia, Coventry, Humana, Kaiser Foundation Health Plan, and Peach State will offer a range of plans for individuals in Georgia as part of the Affordable Care Act’s exchange, or “marketplace,” which will debut in 2014. [read post]
15 May 2013, 3:05 pm
Blue Cross Blue Shield of Vermont denied 7.6% of claims, MVP denied 15.5% of claims, and Cigna denied 21% of claims. [read post]
14 May 2013, 10:01 am
Blue Cross Blue Shield of Michigan (BCBSM) is auditing physicians who have conducted in-office Drug of Abuse (DOA) screening test. [read post]
