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North Carolina Demands Blue Cross Pay $2.05 Million for TPA Suit Legal Fees
Dale Folwell, state treasurer. In the letter, addressed to BCBS of North Carolina President Tunde Sotunde, Folwell explained the State Health Plan awarded the contract to Aetna ...
Source: BestWire   Date: November 18, 2024
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Blue Cross Loses Suit Over TPA Contract for North Carolina State Health Plan
Aetna Life Insurance Co. the TPA contract for 2025 to 2027. In its case, BCBS alleged the plan's board failed to follow proper procedure and acted arbitrarily when scoring ...
Source: BestWire   Date: July 10, 2024
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Governor Signs Bill Allowing Reorganization of Blue Cross Blue Shield of North Carolina
Carolina home," Cooper said in a statement. The North Carolina Senate in May gave its blessing to a bill allowing the state's largest health insurance provider, Blue Cross Blue ...
Source: BestWire   Date: June 12, 2023
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North Carolina Lawmakers Pass BCBSNC Reorganization Bill to Governor
Darcie Dearth, a spokesperson for BCBSNC (BestWire, March 23, 2023). "We support legislative proposals in N.C. that would allow any hospital service corporation, including Blue ...
Source: BestWire   Date: May 31, 2023
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North Carolina Senate Committee Approves BCBS Reorganization Bill
Insurance Commissioner Mike Causey. The bill's sponsor, state Rep. John Bradford, told the committee that the bill, H.B. 346, levels the playing field for BCBSNC and the state's ...
Source: BestWire   Date: May 24, 2023
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Insurance Commissioner Opposes BCBS Reorganization in North Carolina
Darcie Dearth, a spokesperson for BCBSNC. "We support legislative proposals in N.C. that would allow any hospital service corporation, including Blue Cross NC, to modernize its ...
Source: BestWire   Date: March 23, 2023
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Insurers Prepare for Dec. 10 Supreme Court Hearing Over $12 Billion Risk Corridor Appeal
Shield of North Carolina - seeks to overturn a U.S. Court of Appeals for the Federal Circuit ruling, which denied the government had an obligation to pay. The high court has set ...
Source: BestWire   Date: November 25, 2019
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US Supreme Court Sets Dec. 10 Hearing Date for $12 Billion ACA Risk Corridor Appeal
News Service, June 19, 2018). The carriers have argued they are contractually entitled to the ACA program payments despite the adoption of budget policy riders by Congress, which ...
Source: BestWire   Date: October 8, 2019
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Cambia Health Solutions Postpones Deal With BCBSNC on News of CEO’s Arrest
Cambia management and our board," they said. "We have decided to temporarily pause the proceedings toward the strategic affiliation with BCNC until all the facts are known and the ...
Source: BestWire   Date: September 25, 2019
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Blue Cross and Blue Shield-NC Receives Contract Termination Notice
Blue Cross-North Carolina. "Rising medical costs are one of the most urgent issues facing North Carolina families," Werner said. "More than 43 other hospitals across the state have ...
Source: BestWire   Date: July 12, 2017
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Lack of CSR Certainty Partly Drove Huge Rate Hike in NC, Blues CEO Says
Blue Shield of North Carolina. If he could depend on the CSR payments for next year, the rate increase would have been closer to an 8.8% rate hike request, said Wilson, Blue ...
Source: BestWire   Date: May 31, 2017
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 Special Report: ACA Underlies Changes in Enrollment, Premium Mix and Earnings for Health Industry
The health care industry continues to face a number of regulatory and demographic challenges that have developed over the past few years.
 Data
Source: Special Reports   Date: November 11, 2016
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North Carolina Extends Probe Into Complaints About Blue Cross Blue Shield
Insurance is unsure when a resolution will be reached." The DOI opened the probe earlier this year after receiving more than 1,000 customer complaints about problems with ...
Source: BestWire   Date: August 22, 2016
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 2016 Statistical Study: U.S. Combined Life & Health – Industry’s Admitted Assets Increased 1.4%
This statistical study presents the top 200 U.S. combined life and health insurers as ranked by 2015 admitted assets.
 Data
Source: Rankings   Date: June 20, 2016
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North Carolina Blue Sues for $147 Million in Owed Risk Corridor Funding
The company filed the lawsuit in the U.S. Court of Federal Claims in Washington, D.C., seeking $147 million that it says it is owed for the 2014 enrollment year in risk corridor ...
Source: BestWire   Date: June 3, 2016
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North Carolina Blues Names New COO as Hughes Steps Down
Martin Luther King memorial three-day weekend. But the move wasn't enough. On Feb. 4, the state insurance commissioner, Wayne Goodwin, announced "heavy complaint volume related to ...
Source: BestWire   Date: April 11, 2016
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North Carolina Blue Posts $282 Million in Health Exchange Losses, Says ‘All Options on the Table’ for 2017
The ACA group was older and sicker... ACA plan customers proved to be high users of medical care across the board in inpatient, outpatient, professional services and pharmacy. This ...
Source: BestWire   Date: March 4, 2016
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Red Ink From ACA Spurs North Carolina Blues to Seek 34% Rate Hike
North Carolina Blues' total enrollment is about 1.85 million, according to BestLink. "Even when you account for the significant payments we received from the federal government" - ...
Source: BestWire   Date: August 14, 2015
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NC Blues Posts 2014 Loss on Medical Claims; Revenues Rise
Advantage plans for seniors. But the North Carolina Blue's customer base grew to 3.91 million from 3.84 million in 2013, which included more than 1 million members served on behalf ...
Source: BestWire   Date: March 5, 2015
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HealthPocket Researcher: Trend of Some 'High-Profile' Health Insurers Moving Onto Exchanges for 2015
North Carolina Department of Insurance. Coventry Health Care is a subsidiary company of Aetna Inc. (NYSE: AET). "Our goal is to complete rate reviews and approvals by mid-August," ...
Source: BestWire   Date: July 2, 2014
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