Tag:
payer-provider contracts
Latest Headlines
Latest Headlines
Humana to pay $45M to settle contract violation lawsuit
About 300 hospitals accused Humana Military Healthcare Services of violating reimbursement agreements for non-surgical outpatient services.
Aetna error misinforms 8,000 members
Aetna mistakenly mailed letters to 8,000 of its members in California telling them their doctors are no longer covered in the aetna network and they, therefore, should find new providers, reported
UnitedHealth ties doctor fees to quality care
In the latest sign that insurers are rejecting the traditional fee-for-service payment model, UnitedHealth said it would start tying doctors' fees to quality outcomes. WellPoint and Aetna both have
Michigan Blues wants aetna antitrust lawsuit dismissed
Blue Cross Blue Shield of Michigan on Monday asked a federal court to dismiss aetna's lawsuit that claims its hospital contracts are anti-competitive and therefore cause aetna members' healthcare
Calif. Blues says UCLA profits unreasonable
Blue Shield of California is using full-page newspaper ads to call out the University of California at Los Angeles (UCLA) for unreasonable profits, reported LA Weekly. Arguing that hospitals must
Lawmakers may investigate as Humana drops hospitals
Humana ( NYSE: HUM ), seemingly abruptly, announced it will stop paying for medical visits and care for its Medicare members at two hospitals in West Virgina next month. However, federal lawmakers are
Blue Shield claims hospitals joined forces to drive higher rates
Blue Shield of California is publicly calling out UCLA Medical Center for causing an impasse in contract negotiations. Since the insurer has voluntarily capped its profits at 2 percent , it has
Aetna sues Michigan Blues for artificially raising market rates
Aetna is suing Blue Cross Blue Shield of Michigan for using its market dominance to implement most-favored nation clauses with hospitals that forced them to charge Aetna as much as 39 percent more
Aetna renews contract as UnitedHealth negotiations break down
In the latest contract-related battle between insurers and providers, UnitedHealth parted ways with the Eastern Connecticut Health Network (ECHN) while Aetna successfully renewed its partnership with
Highmark can't stop hospital's negative ad campaign
A recent court recommendation has delayed Highmark's attempts to stop the University of Pittsburgh Medical Center (UPMC) from engaging in a negative ad campaign based on the upcoming end of their
