Reimbursement
Doctors have called the programs confusing and time-consuming and say they offer little clinical benefit while detracting from their ability to care for patients.
"We're comfortable being known as the health plan that wants to put health systems in the business of selling insurance."
Lynda Douglas thought she had a deal with Tennessee. She would adopt and love a tiny, unwanted, profoundly disabled girl named Charla. The private insurance companies that run Tennessee's Medicaid program would cover Charla's healthcare.
The insurer is demanding reductions from what it believes are overpaid hospitals and physicians, while CHI is health is trying to meet it with what it believes are reasonable compromises.
J.D. Power's health insurance satisfaction survey finds that customers who bought private insurance plans on ACA exchanges expressed slightly higher average satisfaction than people in employer-sponsored plans: 696 to 679 on a 1000-point scale.
The Republicans should offer an unconditional subsidy extension if the Supreme Court strikes them down.
Like other recent proposals for inpatient hospitals and inpatient rehabilitation facilities, payment would be tied to new standards for quality reporting.
Blue Shield of California is embroiled in a fight with a former executive over $100,000 spent on Hollywood nightclubs and other dubious items.
Blue Cross and Blue Shield companies are setting up their own insurance exchange for retirees switching to individual Medicare plans, a bid to secure lifetime customers from in a new population of seniors.
"The expense of the surgical robot will pale in comparison to the coming tsunami of overpriced drugs."