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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).
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
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.
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.
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%…
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.
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%.
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
‘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.
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.
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.
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.
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.
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.
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.
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
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.