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19 Aug 2019, 1:12 pm
Elizabeth Healthcare is the first hospital system in Greater Cincinnati to partner with Anthem Blue Cross and Blue Shield to help patients and their employers limit so-called shock claims, which can cost $1 million or more to treat a catastrophic illness such as cancer. [read post]
28 Jun 2019, 11:54 am
State Conference of Blue Cross & Blue Shield Plans v. [read post]
13 Jun 2015, 7:32 am
A New York law providing a number of out-of-network safeguards went into effect in April, and legislation has been introduced in Texas....More than half of Americans say making sure health plans have sufficient networks to provide a wide choice of doctors and hospitals should be a top health-care priority for the president and Congress, according to an April poll by the foundation....Anthem Blue Cross of California, Cigna Corp. and Blue Shield of California are… [read post]
8 Apr 2013, 12:44 pm
Fortunately, Cincinnati-area Anthem insureds who receive care at the University of Cincinnati's facilities may dodge that kind of bullet:"UC Health says it has agreed not to charge patients insured by Anthem Blue Cross and Blue Shield higher, out-of-network costs even if the hospital system and insurer don’t strike an agreement on reimbursement rates by an April 15th deadline." [read post]
12 May 2017, 1:21 pm
Two insurers, Anthem Blue Cross and Blue Shield of California, paid ASI a total of approximately $220,000 during that time for claimed acne surgeries. [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]
13 May 2013, 6:38 pm
A case study of Blue Cross/Blue Shield health plan insurance claims shows a 2.2-fold increased risk of hospitalization for acute pancreatitis among patients treated with sitagliptin (Januvia, Janumet, Juvisync) and exenatide (Byetta, Bydureon). [read post]
3 Feb 2021, 3:48 pm
Blue Cross Blue Shield of Michigan (Medicare Like Rates)United States v. [read post]
29 Dec 2017, 6:00 am
FoIB and Blue Cross economist Michael Bertaut recently tweeted a series of posts explaining what has gone off the rails, and why. [read post]
19 Oct 2023, 4:31 am
Learning Objectives:After this conference, attendees will be able to:Describe the nature of decision-making capacity, the tenuous nature of capacity assessments, and the vulnerabilities faced by patients with cognitive impairments in the course of their medical care.Describe different sociohistorical and moral positions on death, the clinical and moral contours of neurological death, and current controversies surrounding brain death declarations.Articulate the different ways in which patients… [read post]
9 Jul 2015, 2:41 pm
Blue Cross and Blue Shield plans — market leaders in many states — are seeking rate increases that average 23 percent in Illinois, 25 percent in North Carolina, 31 percent in Oklahoma, 36 percent in Tennessee and 54 percent in Minnesota. [read post]
12 Jun 2015, 6:43 am
Turns out, more than a few: Aetna, Anthem Blue Cross Blue Shield, Cigna and several others cover the surgery (or surgeries), subject to a very specific definition of medical necessity. [read post]
4 Jun 2015, 11:40 am
■ First up, FoIB Jeff M tips us to this breaking news lie:"Blue Cross and Blue Shield of North Carolina requested a 25.7 percent increase to premium rates ... [read post]
21 Aug 2024, 11:21 am
Blue Cross Blue Shield of Michigan (Tribal Contract Health; Discovery) Tribal Courts Bulletinhttps://www.narf.org/nill/bulletins/tribal/2024.html Eastern Band of Cherokee Indians v. [read post]
14 Sep 2011, 1:09 pm
KALISPELL REGIONAL MEDICAL CENTER, INC., a Montana Corporation and BLUE CROSS AND BLUE SHIELD OF MONTANA, INC., a Montana Corporation, STATE OF MONTANA, DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES, and DOES 1 to 99, Defendants and Appellants. [read post]
26 Mar 2007, 4:31 pm
, and Blue Cross of California (Insurer Fined for Dropping the Sick and the Pregnant) who have been exposed this year for improperly denying coverage or claims. [read post]
30 Aug 2013, 5:49 am
Florida's other senator, Democrat Bill Nelson, has submitted blue slips for both candidates. [read post]
8 Aug 2010, 7:28 am
In Michigan, a law caps the surplus of the state's Blue Cross Blue Shield plan at five times the regulatory minimum. [read post]
29 Nov 2013, 10:35 am
He attempted to cross six lanes and bring his car onto the shoulder, but the car stalled in the middle of the road. [read post]
21 May 2015, 9:13 am
“That’s the thing you’d be worried about: cross contamination,” Marler said. [read post]
