News
A new study from Highmark shows that integrating medical and pharmacy benefits - rather than carving out pharmacy benefits - lowers overall medical costs while promoting better health.
Medicare, private insurers and states are coming together in a government-sponsored project designed to improve primary care and reduce costs.
A new government demonstration project will bring together Medicare, private insurers and states to improve primary care and reduce costs, with healthcare information technology as an underpinning.
Seventeen Pennsylvania hospital programs have been named winners of The Hospital & Healthsystem Association of Pennsylvania 2010 Achievement Awards.
A lawsuit filed in Wayne County Michigan circuit court may result in Blue Cross Blue Shield of Michigan paying $38,000 in denied claims for autism spectrum disorder treatment plus an additional $87,000, according to lawyers defending the beneficiary.
Advocates for the disabled and their providers in Wisconsin are demanding that state legislators conduct a full-scale audit of the state's new healthcare reforms, known as Family Care.
Florida is famous for its sunshine, but it's infamous for its Medicaid fraud. With the fourth largest program in the country, covering more than 2.1 million people, the state loses as much as $3.2 billion in fraudulent claims each year.
Hudson Health Plan, a Medicaid managed care organization based in Tarrytown, N.Y., is poised to roll out new software that will mine its voluminous stores of patient data to ensure that members who are in need of extra attention are directed to the nurses and case managers they need.
Capital BlueCross, of Harrisburg, Pa. has announced a three-year renewal agreement with McLean, Va-based Prematics, Inc. for their electronic prescribing service. More than 1,000 practitioners who provide care for a million patients across central Pennsylvania and the Lehigh Valley use the service.
"Investing in heath information technology is a top priority for health plans," says Robert Zirkelbach, press secretary of America's Health Insurance Plans (AHIP) whose Institute 2010 conference takes place Wednesday, June 9 to Friday, June 11 in Las Vegas.