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Posted today
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Posted today (6 hours ago)

FierceHealthcare

Fitch: Risk adjustment freeze won't hurt credit ratings for the largest insurers
FierceHealthcare
Most of the large, publicly traded insurers and Blue Cross Blue Shield plans have the capital to withstand payment freeze, Fitch Ratings said in a report on Friday, adding that the suspension is “unlikely to affect ratings for the largest U.S. health ...


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Posted yesterday.

The Hilltop Monitor

New Mexico lawsuit puts 'Obamacare' provision on chopping block ...
Santa Fe New Mexican
A decision by the federal government this month to suspend risk adjustment payments to health insurance companies is either a hopeful sign or overkill, ...
For health insurers, latest Affordable Care Act move creates more unknownsMinneapolis Star Tribune
Grants that help Americans get health care coverage slashedThe Hilltop Monitor

all 89 news articles »

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Posted on Jul 13, 2018 (3 days ago)

United Healthcare wins stay in conflict with state
Albuquerque Journal
Earlier this year, the New Mexico Human Services Department awarded contracts to incumbents Blue Cross Blue Shield of New Mexico and Presbyterian Health Plan, as well as Western Sky Community Care. Contracts were not awarded to United or Molina ...


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Posted on Jul 9, 2018 (6 days ago)

NM lawsuit central to 'Obamacare' change
Albuquerque Journal
Last year, the same year Health Connections received an $8.9 million risk adjustment bill, Blue Cross Blue Shield of New Mexico received about $8.8 million from the program, according to a CMS report from that year. Presbyterian Health Plan President ...


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Posted on Jul 12, 2018 (3 days ago)

New Mexico physician fakes cancer diagnosis to avoid 4-year sentence for billing fraud
Becker's Hospital Review
In February 2017, Dr. Heilbron pleaded guilty to fraud and admitted his Santa Fe-based clinic defrauded Medicare, Blue Cross and Blue Shield of New Mexico, and other health insurers. Last year the New Mexico medical board also placed his medical ...


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Posted on Jul 8, 2018 (7 days ago)

ThinkAdvisor

Trump administration freezes payment program of 'Obamacare'
Youngstown Vindicator
The Blue Cross Blue Shield Association, whose members are a mainstay of Affordable Care Act coverage, said it was “extremely disappointed” with the administration's action. The Trump administration's move “will significantly increase 2019 ... Medicare ...
New Mexico Insurer Welcomes ACA Risk-Adjustment FreezeThinkAdvisor
US freezes payments to ACA insurers with sicker patientsHonolulu Star-Advertiser
Trump administration freezes payments required by Affordable Care Act, health care premiums could riseUSA TODAY
CNN -CMS.gov
all 803 news articles »

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Posted on Jul 10, 2018 (5 days ago)

Albuquerque Journal

Former 'holistic' doctor gets 51 months for fraud, obstruction
Albuquerque Journal
When he pleaded guilty to a single fraud charge in February 2017, he admitted to a scheme at his A Well for Health Church medical clinic in Santa Fe to defraud health benefit programs including Medicare and Blue Cross and Blue Shield New Mexico.

and more »

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Posted on Jul 10, 2018 (6 days ago)

Albuquerque Business First

Health care company hires for more than 100 jobs in Albuquerque
Albuquerque Business First
In January, Western Sky was named to manage New Mexico's Medicaid market along with Blue Cross and Blue Shield of New Mexico and Presbyterian Health Plan. The trio will manage Centennial Care 2.0 beginning in January. Molina Healthcare of New ...


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Posted yesterday.

Forbes

Doctors To Trump: Suspending Insurer Payments Hurts Our Sickest Patients
Forbes
Physicians are upset at the decision by Seema Verma, the Trump-appointed head of the Centers for Medicare & Medicaid Services, to suspend the risk adjustment program, citing a New Mexico federal court ruling that said a formula used to calculate the ...


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Posted on Jul 6, 2018 (9 days ago)

Albuquerque Business First

ACI taps new board chair
Albuquerque Business First
New Mexico Association of Commerce and Industry (ACI) elected Janice M. Torrez of Blue Cross and Blue Shield of New Mexico as the 2018-2019 board chair, according to a news release from ACI. ACI is a member-driven organization that works to help ...


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