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By Susan Morse | 11:17 am | November 06, 2024
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
By Susan Morse | 12:58 pm | October 11, 2024
Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.
By Susan Morse | 04:59 pm | October 10, 2024
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
By Jeff Lagasse | 02:59 pm | October 09, 2024
The contracts do not favor managed care organizations that participate in the state's provider networks, according to plaintiffs.
By Jeff Lagasse | 10:58 am | September 09, 2024
The company will be debuting new individual marketplace plans in Florida, Maryland and Texas beginning January 2025.
By Patty Enrado | 12:00 am | November 20, 2007
CHARLESTON, WV – Body mass index (BMI) trainings conducted in the three largest West Virginia cities were so successful that sponsor UniCare will expand the trainings to other regions in...
By Healthcare Finance Staff | 12:00 am | July 16, 2007
The Sullivan Group, a provider of risk management solutions for the healthcare industry, has announced an alliance with global insurance broker Willis Group Holdings of New York to pr...
By Healthcare Finance Staff | 12:00 am | June 07, 2007
WellPoint health ousts CFO over misconduct Top executives at WellPoint Health Networks Inc. have requested and received the resignation of David C. Colby, the company’s chief...
By Patty Enrado | 12:00 am | May 04, 2007
INDIANAPOLIS – WellPoint’s pharmacy benefit manager is offering financial incentive to its members in seven additional states for the latest generic-drug addition to its GenericSelect prog...
By Fred Bazzoli | 12:00 am | May 03, 2007
WASHINGTON – Standard business rules have been released by a collaborative organization to facilitate the data exchange process between providers and insurers. The rules w...