From The AIS Report on Blue Cross and Blue Shield Plans - A lawsuit over whether health insurance carriers’ provider networks were adequate has screeched to a halt following accusations of impropriety within the Washington State Office of the Insurance Commissioner, headed by Mike Kreidler (D). One of the insurers, Premera Blue Cross, subsequently filed a motion to vacate all of Administrative Law Judge Patricia Petersen’s decisions, which could result in Seattle Children’s Hospital starting all over again in its case (Washington State Office of the Insurance Commissioner, Hearings Unit, Docket No. 13-0293). Read more
From The AIS Report on Blue Cross and Blue Shield Plans - As the long-running contractual debate between Highmark Inc. and the University of Pittsburgh Medical Center (UPMC) drags on, Pennsylvania Gov. Tom Corbett (R) has taken an active role in the dispute. On June 2, Corbett’s office unveiled its “Patients First” Leadership Team, and the governor said that the state’s insurance commissioner, Mike Consedine, and the secretary of the Department of Health, Michael Wolf, would meet with the two companies in order… Read more
From Health Plan Week - Now that implementation of the Affordable Care Act (ACA) has moved beyond the “what now” stage to being a reality, Brian Marcotte, the new president and CEO of the National Business Group on Health (NBGH), tells HPW that employers are ready to move on as well and redouble efforts to contain health benefits costs and make delivery of health insurance a top priority. “I think as we look at the ACA… Read more
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