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...Arizona News
The local insurer's contribution is designed to address a wide range of mental health issues as well as health equity, chronic health conditions, and substance use disorder. A bidder's conference is scheduled March 15 and applications will open on March 1, 2022 for programs and/or applied research to address seven specific challenges...Arizona News
Blue Cross Blue Shield of Arizona (BCBSAZ) elected two new members to its board of directors; Mark Laret, who recently retired as president and CEO of the University of California San Francisco Health and Teresa Ward-Maupin, the SVP of digital and customer experience at Comcast.
According to the BCBSAZ press release, Laret’s...Arizona Comings & Goings
Stephanie Setzer starting a new position as director of Medicare operations at Blue Cross Blue Shield AZ. She was formerly the senior manager of claims operations for Advanced Medical Pricing Solutions....Arizona News
Blue Cross Blue Shield of Arizona (BCBSAZ) and Quartet Health (Quartet) announced they will join forces to help increase access to mental healthcare in Arizona, starting in Maricopa County. Quartet’s technology platform will make it easier for patients with BCBSAZ health insurance to quickly connect with mental healthcare services.
...Arizona News
Pam Kehaly, CEO of Blue Cross Blue Shield of Arizona, said that when COVID-19 hit, everything she thought she knew about the healthcare workplace came crashing down - in the best way.
These are the three things that Kehaly learned that changed her outlook:
Nearly anything can be done in far less time than you think.
At the...Arizona News
Blue Cross Blue Shield of Arizona's Mobilize AZ initiative announced grant awards to seven Arizona community organizations providing programs and services focused on substance use disorder.
Grants are awarded for projects addressing substance use disorder and at least one of three complicating factors:
COVID-19
Social...Arizona News
Blue Cross Blue Shield of Arizona has recognized frontline heroes who have gone above and beyond to help others during the COVID-19 pandemic.
BCBSAZ recently selected 30 Arizonan frontline heroes from six different categories:
hospital healthcare workers
non-hospital healthcare workers
first responders
educators
...
