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Prichard finance committee meeting raise questions about employee health insurance and potential pay
During Thursday’s finance committee meeting, a committee member questioned Mayor Carletta Davis about confusion surrounding the city’s health insurance plan with Blue Cross Blue Shield.
Louisiana opens enrollment for 274,000 Medicaid recipients who must switch plans
Healthy Blue, offered by Blue Cross Blue Shield of Louisiana and Elevance Health, is pulling out of Louisiana’s Medicaid program at the end of the year.
Small group health insurance market rates announced
Media Release, Office of Superintendent of Insurance (OSI) Santa Fe, NM – The New Mexico Office of Superintendent of Insurance (OSI) has approved 2027 health insurance premium rates for the small group health insurance market. As of March 2026, over 31,000 New Mexicans were enrolled in a small group plan. The average increase across small group plans is 19.8%. These rates take effect on January 1, 2027. The carriers offering small group coverage in New Mexico in 2027 are: Blue Cross Blue Shield of New Mexico (HealthCare Service Corporation) Presbyterian Health Plan Presbyterian Insurance Company UnitedHealthcare of New Mexico UnitedHealthcare Insurance Company Key Factors Driving the Rate Increases The primary factors that contributed to the 2027 increases are: Claims Experience - Higher than expected 2025 New Mexico claims experience, which is the foundation for the 2027 rate development. Cost Trend - Higher utilization and inflation impacted healthcare costs services, which impacts medical services and pharmaceutical costs nationwide. Risk Pool Changes - Nationwide, businesses with healthier employees are opting for alternative health coverage not under the Affordable Care Act (ACA). This results ina smaller and less healthy small group ACA risk pool. Final approved rates will be posted on the OSI website. To view the carrier rate sheets and rate increase specifics, visit the Office of Superintendent of Insurance website here. The Rate Review Process Conducted by OSI The OSI rate review process focuses on approving rates for health insurance plans that are actuarially sound, not excessive, inadequate, or unfairly discriminatory and ensuring health insurance rates comply with all state and federal laws. For more information, visit the Office of Superintendent of Insurance website at https://osi.state.nm.us/en/. *** About the Office of Superintendent of Insurance The Office of Superintendent of Insurance (OSI) is New Mexico’s regulatory agency responsible for overseeing a wide range of insurance products, including private health and life insurance, auto, home, business, and title insurance. OSI regulates private health plans in the individual, small group, and large group markets, ensuring that premium rates are fair, companies are financially sound, and health care insurance coverage is reliable. While OSI does not have authority over self-funded health plans, where an employer assumes the financial responsibility for paying employee health care claims, Medicaid, Medicare, or TRICARE, OSI plays a vital role in protecting consumers by reviewing premium rates, monitoring insurance company conduct, and licensing producers (formerly known as insurance brokers and agents).
Michigan attorney general sues state’s Blue Cross health insurer
The federal court complaint says the company conspired with other Blue Cross plans to carve up territory and reduce competition.
BCBS Downcoding Issues Impact Behavioral Health Providers in Multiple States
This is an exclusive BHB+ story. Behavioral health providers in at least three states have been impacted by downcoding actions from Blue Cross Blue
Office Visit: Mental health matters every day
Todd Hoffman of Blue Cross and Blue Shield of Oklahoma encourages readers to prioritize mental health and reduce the stigma around seeking support.
AI is operating inside the healthcare billing system. Patients may already be paying the price
As AI codes billing inside hospitals, insurers say costs are being added to a bloated health care system. Blue Cross Blue Shield put the tab near $1 billion.
Payer-provider disputes increase amid federal cuts, inflation
After months of contract negotiations this year, Sentara Health and Anthem Blue Cross Blue Shield of Virginia weren’t close to an agreement, foreshadowing
Another health insurer could end up out-of-network with Lehigh Valley Health Network
A contract dispute between Jefferson Health and Independence Blue Cross could leave Lehigh Valley patients out of network if no deal is reached by the end of the year.
Insurers claim AI is already increasing healthcare costs
Blue Cross Blue Shield says hospital use of AI tools led to an additional $942M in healthcare spending over a two-year period.
AI tools generated nearly $1 billion in extra costs, Blue Cross insurers say
AI tools are raising health spending for insurers by nearly $1 billion over two years, as providers bill for more severe patient care, according to a Blue Cross Blue Shield Association study released Thursday.
Business Briefs: Blue Cross Foundation tabs Sanchez for MMPI post
The Blue Cross Blue Shield of Massachusetts Foundation appointed Liz Sanchez as director of the Massachusetts Medicaid Policy Institute, a dedicated arm
From Backpacks to Checkups, AZ Blue Health Choice Supports Arizona Students Beyond the Classroom
Blue Cross Blue Shield of Arizona Health Choice (AZ Blue Health Choice) is working alongside community partners to help Medicaid families access the school supplies, preventive healthcare, and support children need to succeed both in the classroom and beyond.
Arkansas regulators approve Blue Cross, Cambia Health affiliation
The Arkansas Insurance Department has approved a strategic affiliation between Arkansas Blue Cross and Blue Shield and Cambia Health Solutions. The affiliation will unify operations and enable the organizations to...
CHI St. Vincent & CommonSpirit Health opt out of AR Blue Cross Blue Shield networks
CHI St. Vincent has opted out of the healthcare provider networks of Arkansas Blue Cross and Blue Shield and its associated health plans (Arkansas Blue Medicare
Neronha urges state regulators to reject proposed health insurance premium hikes
Rhode Island Attorney General Peter Neronha is urging state regulators to deny proposed 2027 health insurance premium increases from Neighborhood Health Plan and Blue Cross Blue Shield, arguing the hikes are untenable for Rhode Islanders.
Thousands of Alaskans to see health insurance costs rise sharply, after years of increases
Premera Blue Cross Blue Shield of Alaska's rates on the marketplace have already nearly doubled over the past five years, according to recent reporting by the Anchorage Daily News.
Backlash roils against Blue Cross mental health billing policy change
Blue Cross Blue Shield of Michigan is changing how it covers mental health services, drawing the ire of workers, who say it'll strip access to care.
Blue Cross changes spark protest over mental health care access
Therapists, patients and advocates protested outside Blue Cross Blue Shield of Michigan headquarters over changes set to take effect March 1.
In Idaho, an insurer says health care costs may rise after hospital taps Congress’s billing tool
Blue Cross argues that Post Falls ER & Hospital is out-of-network for insurers and relies on an arbitration process created by Congress.
Sentara Health ends contract with Anthem over reimbursement rates
HAMPTON ROADS, Va. (WAVY) — Sentara Health has terminated its contract with insurer Anthem Blue Cross Blue Shield following a dispute over reimbursement rates. While Sentara Health requested a 6.2%…
Addressing adolescence mental health through creativity
Through its partnership with the Boys and Girls Club of the Twin Cities, Blue Cross and Blue Shield of Minnesota is helping teens harness the power of art therapy to achieve better mental health outcomes.
Blue Cross to return as the NC State Health Plan’s third-party administrator
Blue Cross will be back as the the N.C. State Employee Health Plan's third party administrator in 2028. Plan trustees had dumped Blue Cross for the current administrator, Aetna, in 2023.
For NC State Health Plan members, Blue Cross NC is back in 2028
Blue Cross NC served as the State Health Plan's third party administrator for 40 years until then-Treasurer Dale Folwell sought a change. Beginning in 2028, Blue Cross will again have that role.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
Health insurers propose double-digit-percentage price increases for Illinois exchange plans
For 2027, the state’s largest health insurer, Blue Cross and Blue Shield of Illinois, is proposing an average price increase of 14.9% across its exchange plans.
BCBSM billing change could limit access to mental health care, psychiatric offices say
A recent billing change announced by Blue Cross Blue Shield of Michigan will affect access to mental health care across the state, according to psychiatric offices. The insurance provider says the change is in line with up-to-date guidance.
Kansas state employees to see 15% spike in health insurance if they stay with Blue Cross Blue Shield
Kansas state employees choosing Blue Cross Blue Shield of Kansas insurance next year will see rates rise by 15%.
Radiology Partners affiliate inks in-network deal with Anthem Blue Cross
The deal is with Golden State Imaging Associates, which serves Southern California, providing 24/7 diagnostic and interventional services to hospitals and other referrers.
IBX team wins first place at Google Code for the Cure Hackathon with AI prototype to make prior authorization clearer and fairer
A team of associates from Independence Blue Cross’s (IBX) Advanced Analytics and Data Science department won first place at a recent Google Code for the Cure Hackathon in New York City. The event, run by Google Cloud, brings together teams to build real-world AI solutions to health care challenges. In just four hours, the IBX team designed and built a fully functional prototype that shows how AI can make prior authorization decisions clearer, more consistent, and fair for patients and providers.
Top salaries at HCSC 2025
Health Care Service Corp. is a Chicago-based, customer-owned company that runs Blue Cross & Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas.
Michigan Blue Cross to limit mental health benefit. Will thousands lose care?
Beginning March 1, Blue Cross Blue Shield of Michigan will no longer pay for counseling services provided in a private office by limited license providers.
Mental health providers warn BCBSM billing changes could disrupt care for hundreds
Blue Cross Blue Shield of Michigan is making changes to it’s “incident-to” billing policy, leading to growing concern among mental health care workers about acc
Rochester unveils 'Summer Grooves' concert and entertainment lineup
Rochester launches “Summer Grooves” concert series: Rick Ross at ESL Ballpark, Keith Sweat’s R&B Fest at Blue Cross Arena, Party in the Park returns, plus free RPO shows and Juneteenth headliner Danielle Ponder.
‘Devastating’: Michigan mental health care workers concerned BCBSM billing change could cut access to counselors
Blue Cross Blue Shield of Michigan is making a billing change and mental health care workers in the area say it could leave patients without their counselors. Additionally, mental health care workers say it could upend private practices’ way of making money.
Blue Cross foundation looks to address Mass. health care problems
The Blue Cross Blue Shield Foundation and law/consulting firm Manatt gathered around 20 business and civic leaders to discuss goals.
Fiesta Sports Foundation and AZ Blue Select 20 Arizonans for 2026-27 Empowering Diversity Scholarship
Twenty Arizona residents were awarded the Empowering Diversity Scholarship ahead of the 2026-27 academic year through a partnership between Fiesta Sports Foundation and Blue Cross Blue Shield of Arizona (AZ Blue). Scholarship funds will provide financial support for recipients pursuing post-secondary education or completing their GED (General Educational Development).
Blue Cross Blue Shield of Michigan and Michigan Medicine reach contract agreement
Blue Cross Blue Shield of Michigan and Michigan Medicine reach new, long-term contract.
Lovelace Health System to stay in network for Blue Cross Blue Shield patients
Blue Cross Blue Shield and Lovelace Health System have finalized a new four-year agreement, ensuring patients can continue accessing Lovelace services at in-network rates.
Sutter Health Recognized in Anthem Blue Cross Annual Care Provider Recognition Program
Not-for-Profit Healthcare System’s Medical Groups Honored Among the Top Healthcare Providers in Anthem’s National Network NORTHERN CALIF. – Sutter Health today announced it earned recognition as one of only four California recipients in Anthem Blue Cross’ Care Provider Recognition Program. Developed in collaboration with Anthem’s affiliated health plans, the program honors top-performing medical groups nationwide […]
Health Insurers Performing Better But There’s Potential Trouble Ahead
Health insurance companies including UnitedHealthcare, CVS Health’s Aetna and Blue Cross and Blue Shield plans are seeing lower costs. But there’s trouble ahead.
State employees speak out against dropping Blue Cross from Kansas health plan
Retired and current state employees spoke out against Kansas dropping Blue Cross Blue Shield health insurance from the state plan.
Wawa, Independence Blue Cross, and other Philly-area businesses are investing in a new partnership to create more middle-class jobs
Three industries in the Philadelphia area already offer jobs with good pay that don't require a four-year degree. Business leaders have a plan to create more of them.
Kansas state employees could lose Blue Cross Blue Shield health insurance in cost-saving move
State decision-makers are mulling whether to drop Blue Cross Blue Shield of Kansas from the state employee health insurance plan.
Curbing health care costs through collaboration
How Blue Cross Blue Shield of Michigan reduced costs by $6.3B through provider partnerships and value-based care over 20 years.
No qualifying bids, so State Health Plan will restart search for new insurer
The initial request for bids came in less than a year and a half after the state switched to Aetna from Blue Cross NC.
Dearborn Heights man pleads guilty in federal court to health care fraud
Rabih Hamdan admitted to submitting false prescription claims to Medicaid, Medicare and Blue Cross.
If you have Blue Cross Blue Shield health insurance, you'll want to know about this big change
Beginning April 1, Memorial Hermann Health System facilities and physicians are out of network for some BCBSTX plans.
Minnesota Blue Cross CEO steps down from Sutter Health board over conflict of interest
The Eagan-based insurer says CEO Dana Erickson was recused from Sutter board discussions on acquiring Allina Health, which provides care to many Blue Cross members.
Blue Cross Blue Shield says data back up claim that AI is driving up medical bills
A new data analysis from Blue Cross Blue Shield shows how AI coding may be driving up the cost of health care.
Blue Cross, Michigan Medicine contract fight: What patients should know
Answers to your questions, including how to know if you're eligible for an extension of in-network benefits if no contract deal is reached by June 30.
Michigan Medicine patients losing sleep over BCBSM contract dispute
People with rare and chronic diseases who get specialty care at U-M are fretting about a contract dispute with Blue Cross Blue Shield of Michigan.
Blue Cross, Michigan Medicine dispute puts 300K patients in limbo
The dispute could put some 300,000 Michigan Medicine patients out of network with Blue Cross by July 1 if no deal is reached.
Michigan Medicine resists significant cuts by Blue Cross Blue Shield of Michigan that would limit patient access
Michigan Medicine is informing patients about potential impacts that could result in changes for those insured by certain Blue Cross Blue Shield of Michigan commercial health plans if an agreement is not reached by June 30, 2026.
Know Your Benefits: Anthem Rewards offers gift cards for completing health milestones
For Metropolitan State University of Denver employees covered under an Anthem Blue Cross and Blue Shield policy, healthy habits and smart choices are good for your wellbeing and your wallet. Anthem Health Rewards offers up to $225 in gift cards for completing eligible health activities. Employees can begin earning by filling out a short health […]
Some Blue Cross Blue Shield of Kansas patients lose KU Health System coverage after contract dispute
Amanda Storm is a patient who reached out to KSHB 41. She said her healthcare is caught in the crossfire after learning her insurance plan was no longer in network with her preferred providers.
‘It’s a substantial amount’: BCBS faces criticism over $800 refund delay for Oakland County couple
An Oakland County couple said they were over $800 out because Blue Cross Blue Shield of Michigan wouldn’t refund their overpayment.
Mental Health Awareness
The Buffalo Sabres are proud to host Mental Health Awareness Night. Presented by Highmark Blue Cross Blue Shield of WNY
Duke to Host 2026 National Girls and Women in Sports Day Youth Clinic
DURHAM, N.C. – Duke Athletics is excited to host the 2026 National Girls and Women in Sports Clinic, presented by Blue Cross and Blue Shield of North Carolin...
Montgomery hospital sues Blue Cross, argues insurer “destabilized” Alabama healthcare, caused bankruptcy
Jackson Hospital in Montgomery is suing Blue Cross Blue Shield of Alabama for an excess of $250 million.
NU administration addresses employee concerns about health care shift at special Faculty Senate meeting
Following Northwestern’s announcement that UnitedHealthcare will replace Blue Cross Blue Shield as the University’s employee health care administrator, human resources representatives fielded faculty concerns at a special Faculty Senate meeting Thursday. The University announced June 12 that all medical plans for NU faculty and staff will be administered by UnitedHealthcare starting Jan. 1, 2026. Faculty...
How rising health care costs are affecting Texans
Blue Cross Blue Shield of Texas is dropping UT Southwestern Medical Center and Texas Health Services as in-network for one of its HMO plans.