blue cross · independence
An emergent story thread — signals the timeline clustered together from their own shared language, not a fixed topic.
9 signals in the last 30 days Mixed
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Independence Blue Cross launches $0-premium Medicare Advantage HMO
Philadelphia-based Independence Blue Cross is adding Keystone 65 Assured HMO, a Medicare Advantage plan with a $0 monthly premium, to its 2027 lineup ahead of the annual enrollment period, according to an Oct. 7 news release shared with Becker’s. For 2027, members can choose from Keystone 65 HMO and HMO-POS options and Personal Choice 65SM […] The post Independence Blue Cross launches $0-premium Medicare Advantage HMO appeared first on Becker's Payer Issues | Payer News .
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Independence Blue Cross to pay $22.5M in Medicare Advantage inaccurate diagnoses allegations settlement
The settlement resolves allegations from 2017 to 2021 that the company submitted “inaccurate and untruthful” diagnoses data to CMS.
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AHA pushes back on Blue Cross report tying AI to $942M in coding costs
The American Hospital Association is challenging a Blue Cross Blue Shield Association analysis that estimated rising hospital coding intensity added $942 million in costs and linked the trend to AI-enabled billing tools. The AHA argued in an Oct. 5 blog post that rising coding intensity reflects older, more complex patients, not improper billing. The organization […] The post AHA pushes back on Blue Cross report tying AI to $942M in coding costs appeared first on Becker's Payer Issues | Payer...
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Blue Cross and Blue Shield of Louisiana names new CEO
Blue Cross and Blue Shield of Louisiana has named Brian Keller president and CEO, effective Dec. 1. Mr. Keller will succeed Bryan Camerlinck, who announced his planned retirement earlier this year. Mr. Camerlinck will remain president and CEO through Nov. 30 to support the leadership transition, according to an Oct. 13 Louisiana Blue news release. […] The post Blue Cross and Blue Shield of Louisiana names new CEO appeared first on Becker's Payer Issues | Payer News .
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Independence Blue Cross to pay $22.5M to resolve MA fraud allegations
Independence Blue Cross will pay to settle allegations it defrauded Medicare by inflating diagnosis codes for MA beneficiaries. The payer cited “industry-wide challenges” in applying MA risk adjustment standards.
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Nessel files federal antitrust lawsuit against Blue Cross Blue Shield of Michigan
Michigan Attorney General Dana Nessel filed an antitrust lawsuit against Blue Cross Blue Shield of Michigan Mutual Insurance Company Thursday, alleging that the company has violated both state and federal law through agreements with other Blue Cross Blue Shield entities to “eliminate competition for health insurance services to large employers like the State.” The lawsuit, […]
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Independence Blue Cross to pay $22.5M over Medicare Advantage coding
Independence Blue Cross has agreed to pay $22.5 million to resolve allegations that it used inaccurate diagnosis codes to inflate its Medicare Advantage payments, according to a Sept. 30 Justice Department news release. The government alleged the insurer violated the False Claims Act in three ways for payment years 2017 through 2021. It says the […] The post Independence Blue Cross to pay $22.5M over Medicare Advantage coding appeared first on Becker's Payer Issues | Payer News .
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12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study
Mental health ghost networks reach well beyond public insurance programs. Directory errors affected 55.6% of evaluable secret shopper calls to psychiatrists and psychologists listed by the largest commercial carrier in each of five states, according to a study published Oct. 16 in JAMA Health Forum. Researchers from the Ohio State University’s College of Public Health […] The post 12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study appeared first on Be...
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Catching up with Blue Shield of California CEO Mike Stuart one year in
In August 2025, Blue Shield of California named Mike Stuart as its CEO. Now, a year later, he's reflecting on months of work toward addressing affordability, member access and the patient journey.
Blue Shield California