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Blue Cross and Blue Shield of North Carolina provides not-for-profit health insurance services. It offers a range of health insurance plans for individuals, families, and employers, as well as Medicare, dental, and vision coverage. The company primarily serves the healthcare industry by providing...
the medical benefits ratio (MBR) soaring to 90% from 86% in prior year and the medical loss ratio (MLR) going up to 89.6% from 86.2%. These were attributed to increased utilization, the decline in Medicare Advantage Star ratings, Medicaid acuity...
Hartford, Connecticut-based Aetna and Woonsocket, Rhode Island-based CVS both manage Medicare prescription drug coverage. Some of that business may have to be sold to address antitrust concerns. But otherwise, Leerink analyst David Larsen thinks a CVS-Aetna combination has decent odds of getting p...
there is still insufficient scientific evidence to support the effectiveness of the VAX-D table in treating patients with LBP associated with herniated discs and degenerative disc problems. The Center for Medicare and Medicaid Services (CMS) Technology Advisory Committee did not recommend coverage of th...
“Specifically, our medical reviewer found that Medicare paid acute-care hospitals for outpatient services that palliated or managed hospice enrollees’ terminal illnesses and related conditions,” the report summary stated. “These services were already covered as part of the hospices’ per diem paymen...
Hartford, Connecticut-based Aetna and Woonsocket, Rhode Island-based CVS both manage Medicare prescription drug coverage. Some of that business may have to be sold to address antitrust concerns. But otherwise, Leerink analyst David Larsen thinks a CVS-Aetna combination has decent odds of getting ...