The Arizona, mostly non-profit insurer, also suffered a $162.2 million loss in 2024, reversing a $85.4 million net income gain in 2023. In more bad news for the company, billions from an antitrust settlement will begin flowing to consumers across the country from Blue Cross Blue Shield and its member plans, including Blue Cross Blue...
New data from the American Medical Association show that Arizona’s health insurance markets remain highly concentrated as of Jan. 1, 2024, with one or two insurers holding dominant market share across commercial, Medicare Advantage, and ACA exchange products.
In the commercial market, UnitedHealth Group holds the largest statewide...
Blue Cross Blue Shield of Arizona, one of the state’s largest non-profit insurers, is still in contract negotiations with HonorHealth, a major Phoenix-area health system and one of Arizona’s largest private employers. If the two sides fail to reach an agreement by July 31, patients could begin facing out-of-network charges starting...
Kijuana Wright is now a Medicaid Compliance Officer at Blue Cross Blue Shield of Arizona. She was previously the director of network operations. Her career has included roles at Centene, HSAG and AHCCCS....Arizona News
This week, major hospital systems, including CommonSpirit Health and Community Health Systems, filed a wave of antitrust lawsuits against Elevance Health, Health Care Service Corp., and other Blue Cross Blue Shield insurers including Blue Cross Blue Shield of Arizona (BCBSAZ). The providers have opted out of the $2.8 billion antitrust...Arizona News
The National Association of Insurance Commissioners report provides financial and market intelligence on the insurance industry - another tool for insurers to identify their competitors and comparative market share. The Hertel Report collected the top 10 leaders in Arizona including UnitedHealth Group, Blue Cross Blue Shield of Arizona...Open
After submitting intent to not renew its contract with the local insurer, Wickenburg Community Hospital has agreed to rates proposed by Blue Cross Blue Shield of Arizona (BCBSAZ). The 19-bed community-owned Critical Access Hospital and health system, along with its three rural health clinics in Wickenburg, Congress, and Wittmann,...Arizona News
The Critical Access Hospital (CAH) system and Level IV Trauma Center is located about one hour northwest of Phoenix and serves patients from surrounding rural communities in Maricopa and Yavapai counties.
Wickenburg Community Hospital (WCH) has given Blue Cross Blue Shield (BCBS) a 90-day notice of its intent to...Arizona News
Dignity Health facilities remain out of network since negotiations failed to produce a contract by February 1, 2024. The health system owned by CommonSpirit Health contends Blue Cross Blue Shield of Arizona is 90+ days in arrears for "tens of millions of dollars in claims" and has "too frequently" denied medically necessary treatment,...Arizona News
Blue Cross Blue Shield of Arizona also earned a spot from BestCompaniesAZ for large Arizona companies. Banner|Aetna, a joint venture by Banner Health and Aetna, a CVS Health company, announced it was named to the list in the small companies category.
Banner|Aetna’s employee survey results earned them the No. 2 place among all...
Our annual data edition focusing on the Arizona Health Care Cost Containment System (AHCCCS) covers a lot of territory and 15 pages to help readers keep tabs on the agency charged with overseeing the managed care plans contracted with the state to deliver care to about 2.2 million Arizona Medicaid members.
Correction: On Page 4 the...
On August 17, 2023, a cyber security breach at TMG Health put at risk 47,485 Blue Cross Blue Shield of Arizona patients' personal information, according to the U.S. Department of Health and Human Services.
On June 21, 2023, Arizona’s largest commercial insurer Blue Cross Blue Shield of Arizona (BCBSAZ) was informed by TMG Health, of...Arizona News
This week Blue Cross Blue Shield of Arizona (BCBSAZ) confirmed about 60,000 of the company's 245,000 Medicaid members are at risk of losing coverage. The AHCCCS redetermination process began for about 2.5 million Arizona Medicaid members on April 1, 2023 and this week CMS scaled up a pilot program to better connect those losing Medicaid...
After months of tough negotiations, a new agreement between Blue Cross Blue Shield of Arizona (BCBSAZ) and Dignity Health's Yavapai Regional Medical Center is now in effect as Phoenix Children's announced its conducting contract negotiations with UnitedHealthcare (UHC).
Increasingly difficult negotiations are now happening between...
On March 22, 2023, US Wellness filed a notice of data breach with the U.S. Department of Health and Human Services Office for Civil Rights after learning that a January 31, 2023 data security incident at one of the company’s vendors compromised about 11,000 customers’ protected health information.
US Wellness provides health...Arizona News
It's going to be a nail-biter; the negotiation period was again extended through Wednesday, Feb. 8. Blue Cross Blue Shield of Arizona patients will maintain their in-network access to Yavapai Regional Medical Center (YRMC) services through the extension date.
According to local reporting in Prescott, YRMC continues its efforts to...Arizona News
In December, Blue Cross Blue Shield of Arizona (BCBSAZ) announced its working again with TriWest Healthcare Alliance to deliver healthcare services to active-duty members and veterans in the West Region. This week, BCBSAZ also joined a coalition of other Blues plans to form Synergie Medication Collective to improve affordability and...
Seven insurers, but not Bright Health, are offering individual and family coverage in Arizona on HealthCare.gov including last year's newcomers Banner/Aetna and Medica Community Health Plan. We reviewed the plan data from the Arizona Department of Insurance and Financial Institutions and provide readers a Marketplace snapshot.
Nearly...
Arizona's Medicare Advantage market continues to grow in Arizona with 48% penetration. UnitedHealthcare dominates enrollment in the state with its AARP branded offerings including the only 5-star plans in Arizona. Humana and Centene were the only two insurers to knock UnitedHealthcare off its No. 1 spot in a handful of Arizona...
Listed among Arizona municipalities, ad agencies, financial institutions and real estate firms, a number of healthcare organizations including Centene's Arizona Complete Health and health system market leaders Banner Health, Blue Cross Blue Shield of Arizona, Dignity Health of Arizona, HonorHealth and the Mayo Clinic also made the...
