Mount Sinai and Anthem Blue Cross Blue Shield failed to reach a contract agreement by Dec. 31, which means about 9,000 Mount ...

Now the future of Jackson Hospital rests with Blue Cross Blue Shield of Alabama. This is a moment for leadership, fairness, and accountability, to the people who pay premiums, to the providers who ...

Rising costs coupled by flat rates set by the Trump administration for Medicare Advantage could trigger withdrawals of health insurers from markets across the U.S.

In their latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), examined aggregated profit margin trends ...

Use of the Psychiatric Collaborative Care Model (CoCM) increased 26-fold nationally among commercially insured patients between 2018 and 2024, yet access to the evidence-based mental health care model ...

This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with ...

After weeks of uncertainty, a contract dispute affecting the health coverage of retired Fresno Unified educators has been resolved, but negotiations continue on other agreements, testing patient ...

New data released by the Centers for Medicare & Medicaid Services show that fewer Montanans — and Americans overall — have signed up for health plans through the Affordable Care Act Marketplace.

GENESEE COUNTY, MI — Members of the Genesee County Board of Commissioners understand they could save hundreds of thousands of ...

A new study found that use of the Psychiatric Collaborative Care Model (CoCM) is increasing rapidly at a national level, but enormous disparities in use exist among states. CoCM is the low cost, ...

There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the ...

Retirees should brace themselves for both positive and negative changes to Medicare this year.