Providence Oregon CEO Talks About “Joint Decision” With Insurer to Limit Access to Specialty Care
Changes to Medicaid Network Impacting Portland Residents Recent reports indicate that a significant segment of low-income residents in Portland is losing access to important Providence health system specialty jobs due to alterations in the Medicaid insurance network that started this month. CareOregon, which administers the affected plans, claims its broader provider network can handle these […]
Hospital and health insurer clash over contract, leaving patients in the middle. Current situation.
Unresolved Contract Talks Leave Patients in Limbo Negotiations between a prominent health care provider in Connecticut and a major insurance company are still at a standstill, weeks after the expiration of existing policies. This situation has left the care of around 15,000 patients uncertain, with individuals feeling caught in the middle of the conflict. Experts […]
Insurer Will Pay Millions for Not Correcting Mistakes That Made Accessing Mental Health Care Difficult for Customers
EmblemHealth Settles for $2.5 Million Over Mental Health Care Issues One of New York’s major health insurers, EmblemHealth, is facing a hefty fine after failing to fix ongoing problems that hindered customers from accessing mental health care. This week, the company agreed to a $2.5 million settlement. The New York State Attorney General’s Office highlighted […]
New York Archdiocese claims Chubb insurer is being deceptive regarding sexual abuse cases
The Archdiocese of New York has accused its insurance provider, Chubb, of running a “shadow campaign” against the church, claiming it’s acting as a front for a victims’ rights group focused on sexual abuse cases. This explosive claim of “fraud and sabotage” is included in a lawsuit the archdiocese has filed against Chubb, which is […]
US suggests a small increase in 2027 Medicare insurer payments, stocks decline.
On January 26, the United States government announced a proposed average payment increase of 0.09% for private insurers managing Medicare Advantage plans for the upcoming year. Following this news, shares of companies like UnitedHealth saw a drop of over 10%. Other companies in the sector, such as CVS Health and Humana, also faced declines in […]
New CEO of BlueCross BlueShield steps in as the insurer confronts federal and state issues
New Leadership at Blue Cross Blue Shield of Vermont Amid Challenges Beth Roberts has officially taken on the role of president and CEO of Blue Cross Blue Shield of Vermont as of Saturday. Just shortly after her appointment, the window for applications for the Affordable Care Act marketplace plan closed, a program that significantly helps […]
Chattanooga hospital faces contract dispute: Impact of insurer negotiations on your coverage
Hospital Contract Negotiations in Chattanooga Chattanooga, Tennessee — It seems that a major hospital in the Chattanooga area is in the midst of contract negotiations with a significant health insurance provider. On Tuesday, we’ll explore how these negotiations unfold and, unfortunately, how they can lead to patients losing their necessary insurance coverage. Common Spirit Memorial […]
Significant data leak with Massachusetts’ biggest health insurer reveals Social Security numbers
Conduent Services, which provides “back-office support” for different organizations, has informed patients of Blue Cross Blue Shield about a significant data breach impacting sensitive information, including Social Security numbers. In a letter sent to patients on October 24, the company said, “We would like to inform you of a recent incident that Conduent, Inc. has […]
A Year After Negotiations Fell Through, Providence Oregon Reaches Agreement With Major Insurer
Tens of thousands of Aetna members in Oregon will soon have improved access to hospitals and clinics within Providence, Oregon, following a new agreement between a major insurance provider and health system. This multi-year deal means that, starting December 1, Providence Health & Services will reintegrate its facilities in Portland and across the state into […]
Insurer requests investigation into hospital billing practices by Idaho Department of Insurance
Insurance Company Requests Investigation into Hospital Billing Practices In Post Falls, Idaho, a significant health insurance provider has reached out to the Idaho Department of Insurance this week, urging an investigation into the billing practices of a newly established hospital. Blue Cross of Idaho claims that Post Falls ER & Hospital has turned down their […]