Posts Tagged BCBSNC

BCBSNC Donates $500,000 to NC Medical Society Foundation

Blue Cross and Blue Shield of North Carolina has given $500,000 to the NC Medical Society Foundation’s disaster relief program to help offset costs from Hurricane Florence. The NCMS Foundation’s disaster relief program is meant to reestablish medical care to affected areas after such

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CMS Approves North Carolina’s 1115 Demonstration Waiver

The North Carolina Department of Health and Human Services’ amended 1115 Demonstration Waiver application, that was submitted in November 2017, has been approved by the Centers for Medicare and Medicaid Services (CMS). The waiver approval gives North Carolina the authority to implement the

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BCBSNC Will Be Offering New Referenced Based Product in the Individual Market

BCBSNC will be offering a low cost alternative reference based product (MyChoice) beginning Jan. 1, 2019.  The product will be offered to individuals who do not qualify for a subsidy as a low cost alternative to Affordable Care Act (ACA) plans. The product

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State Health Plan Launches New Provider Reimbursement Effort

State Treasurer Dale Folwell announced that the State Health Plan (Plan) will launch a new medical reimbursement strategy for North Carolina providers that care for Plan members. Starting on Jan. 1, 2020, the Plan will move away from a commercial-based payment model to

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North Carolina ACA Enrollment Training

Register now for “Educate, Empower, Enroll: Conference for NC In-Person Assisters 2018″ at the Greensboro Marriott Downtown on Oct. 22. The conference, organized by outreach and enrollment organizations across the state, will convene in-person assisters from Navigator Organizations, Community Health Centers, Certified Application Counselor Organizations,

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UHC Puts Temporary Hold on Implementation of 340B Cuts for Medicare Advantage

NCHA received a communication from the American Hospital Association (AHA) indicating that United Healthcare’s (UHC) implementation of 340B cuts, consistent with Fee for Service Medicare Part B, for its Medicare Advantage Plan members have been put on hold until further notice due to

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BCBSNC place of service medical infusion policy update

NCHA met with Blue Cross and Blue Shield of North Carolina (BCBSNC) representatives on May 16, 2018, to discuss the Place of Service Medical Infusion Policy. This meeting provided an opportunity to express concerns related to quality of care, patient safety, access to care,

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Congress passes VA Mission Act

The US Senate voted 92-5 to approve bipartisan legislation (S. 2372) to streamline and consolidate the Department of Veterans Affairs’ (VA) community care programs into a permanent Veterans Community Care Program. The House overwhelmingly passed the bill last week and President Trump is

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NCHA meets with BCBSNC to discuss Place of Service Medical Infusion Policy

NCHA and hospital/health system representatives met with Blue Cross and Blue Shield of North Carolina (BCBSNC) to discuss its Place of Service Medical Infusion Policy. Members expressed concerns related to quality of care, patient safety, access to care, network adequacy by market, member

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Federal Appeals Court sets date to hear oral arguments in 340 B lawsuit

On May 4, 2018, the U.S. Court of Appeals for the District of Columbia Circuit will hear oral arguments in the suit brought by three national hospital groups and three local health systems against U.S. Secretary of Health and Human Services Alex Azar to

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