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Web Exclusive: The Nightmare of Health Insurance Bureaucracy
Douglas Arnold, CEO of Medical Professional Services in Middletown, CT, recently spoke about the "daunting"...
Magazine: What Will Be the Payment Model in 2020?
Common among a coming array of payment models will be greater data sharing.
Florida Blues strike deal with Take Care clinics
Take Care Health Systems has contracted with Blue Cross and Blue Shield of Florida Inc. to cover services for members...
Magazine: The Big Keep Getting Bigger
Two cases in the Northeast show the trend toward consolidation and for-profit conversion is far from over.
Humana hit hard
Humana investors had expected that the company’s Medicare business would be strong, but rising costs caused the...
Indiana-based St. Francis threatens split with Anthem
Tens of thousands of Anthem customers could face higher healthcare bills or disruptions in service if they seek care...
Insurers warn brokers
Health plans have warned the brokers who sell their products to stop efforts to save employers money by combining two...
Fairview, Blue Cross of Minnesota sign new contract
A day before their contract was due to expire, Blue Cross and Blue Shield of Minnesota and Fairview Health Services...
Minnesota-based Fairview Health Services could leave Blue Cross network
Fairview Health Services will soon no longer be part of the medical provider network for Blue Cross and Blue Shield of...
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...

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...