From Health Plan Week - Blues operator Highmark Inc. and the University of Pittsburgh Medical Center (UPMC) may have signed a consent decree covering the transition period that follows the end of the pair’s provider contract at the close of 2014, but Pennsylvania consultants say there are outstanding issues like how much to reimburse for emergency room rates that have to be resolved to avoid problems for consumers in 2015. Read more
From Health Plan Week - Venture capital is flowing into the digital health space at rates that by midyear 2014 had already eclipsed what was seen for all of last year, according to new industry data. That leaves health insurers to consider investments in or outright acquisitions of a bevy of software developers, wearable device makers and behavioral health tool creators. Sifting through the suddenly crowded digital health startup market has become an important part… Read more
From Health Plan Week - It takes nearly two computer screens to scroll through the list of state-mandated medical services that health insurers in California must cover. And on Aug. 22, a clarification of an existing state law added one more when the Department of Managed Health Care informed carriers that abortion services are a basic health service in the state and must be covered. Read more
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