Durable medical equipment (DME) includes important equipment and supplies, from braces, crutches and casts to glucose monitors, respirators and hospital beds. The vast majority of providers handle claims for these products appropriately. But this area of the health care industry has been targeted by fraudulent providers, criminals backed by organized crime to steal member data, impersonate legitimate providers, forge documentation, and bill bogus claims to insurers.

BlueCross explains 2026 Marketplace rates, along with factors driving costs to help members prepare for open enrollment and make informed decisions about their coverage.

BlueCross VP of enterprise risk adjustment, quality and affordability Dr. J.B. Sobel, writes about the ways that AI tools can lead to inflated medical care costs and what BCBST is doing to help.

BlueCross Executive Vice President and Chief Operating Officer Scott Pierce explains how the No Surprises Act increases health care costs as providers use dispute processes to secure higher payments, driving up premiums and out-of-pocket expenses for consumers.

BlueCross is partnering with providers to deliver bundled joint replacement care that simplifies the experience with one coordinated plan and bill, helping lower costs and improve transparency.

Health plan professionals explain how enhanced care coordination, preventive services and strategic provider partnerships keep dental benefits affordable and accessible for Medicare Advantage members.

Experts outline how BlueCross’ new CareCentrix partnership will simplify access to medical equipment and help members receive needed care more efficiently.

BlueCross SVP of Corporate Communications Dalya Qualls White shares tips to help members select the right coverage for their needs.

Our changes include improving the way we review claims before they’re paid and adjusting payment policies for mid-level providers like nurse practitioners and physician assistants.

We make sure the care and medications our members receive are safe, clinically appropriate, covered by their plan, and cost-effective. And we’re making prior authorizations work better for everyone.

We paid out $3.5 billion for prescriptions in 2024. Providing access to safe and effective drugs is core to our purpose, but we also have to consider how they raise costs for everyone.

We’re here to help our members and customers get the right care, at the best price. So, we negotiate prices and use evidence-based guidelines for what we cover.

Experts outline how BlueCross’ new CareCentrix partnership will simplify access to medical equipment and help members receive needed care more efficiently.

BlueCross leaders share how rising health care costs impacted the company’s 2025 financial performance, highlighting efforts to maintain affordable, reliable coverage while paying $22.2 billion in member claims and investing in long-term financial stability.