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BLUE CROSS & BLUE SHIELD of Rhode Island's processes for approving coverage of services—known as utilization review—were found to be non-compliant with laws and regulations relating to coverage of mental health and substance use disorder benefits by the R.I. Office of the Health Insurance Commissioner in its first market conduct examination of the four health insurers in Rhode Island.

BCBSRI utilization review for mental health and substance-use disorder found deficient...

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island’s processes for approving coverage of services – known as utilization review – were found...

OHIC: BCBSRI to contribute $5M to Behavioral Health Fund

PROVIDENCE – The R.I. Office of the Health Insurance Commissioner, in the middle of a market conduct examination of the state’s four major insurers’...

Retired BCBSRI CEO Peter Andruszkiewicz paid $1.1M after leaving

PROVIDENCE — Peter Andruszkiewicz, former president and CEO at Blue Cross & Blue Shield of Rhode Island, was paid incentive payments and severance totaling...

BCBSRI: Addiction recovery better at home

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island is working to change common opinion that recovery must happen at far-away locales, sharing...
CHARTERCARE HEALTH PARTNERS has made an offer for Care New England's Memorial Hospital building, where it intends to restore services, starting with the emergency room. / COURTESY CARE NEW ENGLAND

CharterCARE makes undisclosed offer for Memorial Hospital

PAWTUCKET — Two months after CharterCARE proposed investing $10 million to restore emergency room services at the former Memorial Hospital of Rhode Island building,...
HELPING HANDS: Blue Cross employees work with Family Service of Rhode Island to rehab an outdoor playground at a school in Providence.
 / COURTESY BLUE CROSS & BLUE SHIELD OF RHODE ISLAND

Blue Cross & Blue Shield of Rhode Island

BEST PLACES TO WORK 2018 5. ENTERPRISE | Blue Cross & Blue Shield of Rhode Island Employees in R.I.: 779 President and CEO Kim A. Keck Questions answered...
HSRI AND OHIC announced the establishment of a health insurance Market Stability Workgroup designed to suggest state-level solutions to lower health insurance costs and stabilize the health insurance market. / BLOOMBERG FILE PHOTO/ANDREW HARRER

ACA insurers’ rate increases tempered despite uncertainty

PROVIDENCE – Rate increase requests from the two insurers participating in the individual health insurance market were 10.7 and 8.7 percent for Blue Cross...
OHIC HAS ANNOUNCED rate increase requests by the state's major insurers for 2019. Above, Marie L. Ganim, the Rhode Island Health Insurance Commissioner, speaks during the October 2017 PBN Health Care Summit. / PBN FILE PHOTO/ RUPERT WHITELEY

OHIC lists health insurance rate increase requests for 2019

PROVIDENCE — The R.I. Office of the Health Insurance Commissioner has released the rate increase requests of the state’s four largest insurers for individual,...
LONGTIME LEADER: Carolyn Belisle, managing director of community relations for Blue Cross & Blue Shield of Rhode Island in Providence, has been with the company for 17 years. / PBN PHOTO/RUPERT WHITELEY

Belisle’s leadership weaves community, service throughout health care

Women to Watch, Professional Services | Carolyn Belisle, Blue Cross & Blue Shield R.I.Community relations is no longer an accessory to business strategy. It’s...
Blue Cross Blue Shield of Rhode Island reports a a $17.6 million net loss, thanks in part to ACA taxes for the year.

Blue Cross $17.6M Q1 loss includes pre-paid ACA taxes

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island reported a net loss of $17.6 million and a net underwriting loss of $22.9...
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