#CAQH was originally founded by a coalition of insurers as a nonprofit that offered data services, operating rules and industry research to facilitate collaboration in healthcare. #Corporatization

#Anthem claims more than 75% of disputes submitted by Ontario, Calif.-based #PrimeHealthcare were ineligible for the #IDR process, including claims that were in-network. #NoSurprisesAct #Litigation

#CVSHealth (#Aetna), #UHG (#UHC), and #Cigna allegedly established Group Purchasing Organizations" (GPOs) to retain rebate money that was supposed to be passed through to #HealthCoverage plans. Could be explosive, but not sure about this source. #PBM

“You’re going to start to see some real #inequality start to emerge [...] and that becomes the really important question in the second year of a recovery[.]" #2025CaliforniaWildfires #HomeownersCoverage

Provider Networks: Older Than You Think https://t.co/47haJh0wXh #healthcoverage #providercontracting #historicalcontext #howinsuranceworks

Rulings issued in the this case may provide insights about how federal judges interpret notice requirements, administrative requirements and appeals requirements. #MyOpinion Really? Seems pretty straightforward to me. #FSA #ERISA

Now here's something interesting: #Alaska is trying out the idea of *licensing* #PBM the same way #agents and #carriers are licensed. Worth a watch!

#HCAHealthcare is facing resistance to its expansion efforts across multiple states, as competing health systems challenge the for-profit giant’s push. #HospitalConsolidation #Monopolies

“This is the moment where a lot of hard decisions have to be made about who gets care and who doesn’t.” #ACASubsidies #MedicalCosts #Medicaid #CommunityHealthCare

The plaintiffs have accused employers and advisors of violating the Employee Retirement Income Security Act. #ERISA #VoluntaryBenefits #Litigation Employers offering #worksite benefits should keep an eye on this.

#BCBSTX accused #ZotecPartners of knowingly instigating “thousands” of disputes that were not eligible for arbitration. #NoSurprisesAct #Litigation

Anthem vs Community Hospital of the Monterey Peninsula (CHOMP) https://t.co/RlDwKwhTVX #networkcontractwatch #anthembcbs #california #chomp #communityhospitalofthemontereypeninsula

The plaintiff alleges her information was exposed in a data breach between October 2024 and November 2025. She also alleges that #Cigna failed to implement security measures and took too long to notify affected individuals. #Cyberattack #Litigation

Is it superficial of me to note that @claudiasheinbaum.bsky.social @Claudiashein has one of the most beautiful voices I've ever heard? Very well, then; I shall be superficial. Because she has a gorgeous voice.

A nice rundown/summary of changes that are now in effect. Do remember that self-insured health plans are exempt from many state mandates. #Legislation #ERISA #HealthCoverage

The partnership announcement Monday comes comes three years after a merger between Englewood and Hackensack Meridian Health fell apart. #HospitalConsolidation #BigMedicine #NewJersey

#NutexHealth, based in Houston, operates boutique #hospitals providing what it calls a “concierge” level of around-the-clock emergency care, plus some “specialty” services, according to its website. #Idaho #ConciergeCare #NoSurprisesAct

Cigna vs East Tennessee Children’s Hospital https://t.co/CpWerWHMgT #networkcontractwatch #cigna #easttennesseechildrenshospital #tennessee

States may continue to provide the information voluntarily, according to the #CMS Letter. #vaccines #PublicHealth

PARTIALLY RESOLVED: UnitedHealthcare vs MyMichigan Health https://t.co/acaEfdCrXn #networkcontractwatch #michigan #mymichiganhealth #resolvedcontractdisputes #unitedhealthcare