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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...

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

Health Services
PROVIDENCE – Blue Cross & Blue Shield of Rhode Island reported a net loss of $17.6 million and a net underwriting loss of $22.9...
STEWARD HEALTHCARE's 2013 lawsuit against Blue Cross & Blue Shield of Rhode Island, alleging a conspiracy with Thundermist Health Center and Lifespan to prevent the Massachusetts hospital system from entering the Rhode Island market by buying Landmark Medical Center, is going to trial. /PBN FILE PHOTO/DAVID LEVESQUE

Steward suit alleging BCBSRI conspiracy to block Landmark sale proceeding

Government
PROVIDENCE — Steward Healthcare’s 2013 lawsuit against Blue Cross Blue & Shield of Rhode Island alleging a conspiracy with Thundermist Health Center and Lifespan...
PEOPLE IN RHODE ISLAND are more likely to report unmet need for behavioral health care services than in any other New England state, according to data from the Truven Health Analytics report commissioned by the state in 2014. / COURTESY TRUVEN HEALTH ANALYTICS

BCBSRI levels behaviorial health copays with primary care, lifts approval rule

Health Services
PROVIDENCE – Blue Cross & Blue Shield of Rhode Island is making behavioral health doctor visit copays the same cost as primary care and...
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