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Insurer and New York City hospital system reach accord
A contract dispute between one of the country's largest insurers and a major New York City hospital system has been...
Web Exclusive: The Nightmare of Health Insurance Bureaucracy
Douglas Arnold, CEO of Medical Professional Services in Middletown, CT, recently spoke about the "daunting"...
Bristol (CT) Hospital, Anthem in standoff over reimbursement rates
Beginning in 2010, Bristol (CT) Hospital could be out of Anthem Blue Cross and Blue Shield's network, meaning that...
Atlanta-based St. Joseph's, United Healthcare contract may end
Atlanta-based St. Joseph's Hospital recently notified patients that it may end its relationship with medical insurance...
Boston hospital chain close to new contract with Blue Cross
Caritas Christi Health Care chief executive Ralph de la Torre, MD, said the hospital chain is close to signing a...
Tufts Medical Center to break with Blue Cross
Boston-based Tufts Medical Center has begun warning thousands of patients that Tufts doctors will no longer accept Blue...
Florida Hospital, Humana sign agreement for Medicare Advantage members
Members of Humana’s Medicare Advantage plan can now get care at Florida Hospital’s seven locations in...
New Jersey Blue Cross may cut Philadelphia hospitals from coverage
As the insurer campaigns to convert into a for-profit company, Horizon Blue Cross Blue Shield of New Jersey is...
Deadlock spurs New Jersey hospital to cancel Horizon contract
Newton (NJ) Memorial Hospital is dropping Horizon Blue Cross Blue Shield of New Jersey due to a dispute over...
Highmark, West Penn hospitals reach new contract
West Penn Allegheny Health System and Highmark Blue Cross Blue Shield have announced the signing of a new five-year...

Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...
Book: Beyond the Contract:
This hands-on survival guide will help you prepare for negotiating sessions by delivering techniques and strategies you...
Book: Top Managed Care Contracting Clauses:
Minimize contractual ambiguities between you and your managed care partner by fortifying the document with language...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Book: Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...