Regence BlueCross BlueShield

Salem Health Ends Contracts with United and Regence

In both cases, the parties could not reach an agreement over reimbursement.

Salem Health played hardball, and severed its contract with a long-standing insurer, United Healthcare, according to a memorandum sent by hospital officials that was obtained by The Lund Report.

Jim Walton Rejoins Regence

He’ll become vice president of sales in early June

Jim Walton is returning to Regence BlueCross BlueShield in early June, after leaving the health plan to become the chief operating officer and vice president at KPD Insurance, a brokerage firm in Eugene, a position he held since January.

ZoomCare Snags New Seasons Market – Could Other Employers Be Far Behind?

Open enrollment ended last Friday, and the employees at New Seasons were given a choice of ZoomCare or Regence BlueCross BlueShield.

The news that ZoomCare has captured New Seasons Market came as no surprise to onlookers because the same equity firm that filtered millions of dollars into ZoomCare’s pockets has also heavily invested in New Seasons – Endeavor Capital.

OMIP Offers Regence BlueCross BlueShield $2.1 Million Agreement

Regence would have to deduct the cost of reconciling the books for its last-minute request to be paid for claims as old as 2010 to get money from a federal high-risk account that dissolves at the end of the year.

The Oregon Medical Insurance Pool has agreed to pay $2.1 million to Regence BlueCross BlueShield to resolve outstanding claims the insurance company says it’s owed for administering the Federal Medical Insurance Pool.

OMIP Sets Reinsurance Tax for 2014 at About $46 Per Person

The high-risk pool is charged with operating a state reinsurance program that is intended to spread the risk and soften the blow to insurance companies that have consumers with high medical claims. The $46 per person assessment annually to health insurance policies will be used to reimburse insurers for former OMIP consumers who run up bills of more than $30,000.

The Oregon Medical Insurance Program board voted unanimously Monday to set the assessment on health insurance plans to fund its reinsurance program at $3.859 per person  per month, which will bring in just under $72 million for 2014.

Moda Health Doubles in Size But Ends Up in the Red

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Major insurers Regence BlueCross BlueShield, Kaiser Permanente and PacificSource see their enrollments go down at the end of the third quarter, while co-ops pick up steam.

Moda Health has more than doubled in size since Jan. 1, when federal rules surrounding health coverage went into effect. Over the same period, Oregon’s largest insurers have shed tens of thousands of members, according to third-quarter statements filed with regulators. 

Physical Therapists Urge Regence to Get CareCore Under Control

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They’re frustrated with the rising administrative costs and pre-authorization requirements that impose too many limits on patient visits.

Physical therapists are waiting to see if changes last week in the tier program by Regence BlueCross BlueShield, the state's largest health insurer, will relieve what they describe as an onerous administrative burden and ultimately improve the way their services are valued.

Regence Claims It's Been Underpaid $10 Million by High-Risk Pool

A large portion of the remaining account balance of the Oregon Medical Insurance Pool may end up in the pockets of Regence BlueCross BlueShield after the insurer alleged in a letter that accounting errors had shorted the company for expenses paid as it administered the program. OMIP chairman Robin Richardson has indicated he’d like a third-party audit to verify the account transactions.

The Oregon Medical Insurance Pool may have to pay Regence BlueCross BlueShield $10 million more than it expected after the insurer informed the OMIP board late last month about a number of previously unseen accounting di

Regence Seeks to Dismiss Class Action Lawsuit

Attorneys have until August 18 to submit their response in Multnomah County Circuit Court.

As predicted, Regence BlueCross BlueShield is seeking to dismiss the class action lawsuit that contends the insurance giant has spent millions of dollars paying high ranking executives rather than spending $150 million in excess profits on policyholders.

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