Tag:

Health Maintenance Organization

Latest Headlines

Latest Headlines

HMOs fined $4M for denial of services

Two health plans in Florida have been fined a total of nearly $4 million after a long-running dispute about whether they improperly denied or reduced speech-therapy services for children in the

BCBS of Massachusetts puts Beth Israel doctors on budget

Blue Cross Blue Shield of Massachusetts and the Beth Israel Deaconess Physician Organization have signed an alternative quality contract, thereby covering 40 percent of Blue Cross HMO members under

Texas bans discretionary clauses from health plan policies

Insurers in Texas can no longer use discretionary clauses that give them the right to interpret their policies and decide what benefits should be paid. In announcing the new rule, Texas Insurance

HMOs, PPOs to raise premium rates in 2011

Increases in group health renewal prices for large and midsize plans could average about 10 percent for health maintenance organization (HMO) plans and about 12 percent for preferred provider