Tag:
Department of Managed Health Care
Latest Headlines
Latest Headlines
Why hospitals must approve big premium hikes
Insurance company executives are paid too much, but stopping them from jacking up premiums is too risky for hospitals. That was the gist of an interview I had earlier this week with C. Duane Dauner,
California plans fined $4.85M for inaccurate provider payments
The California Department of Managed Health Care levied fines totaling $4.85 million against seven health plans for failure to pay claims to hospitals and physicians accurately. The fines, which
Anthem pays hospitals $1.6M for stop-loss claims
Anthem Blue Cross of California has agreed to pay $1.62 million to settle charges that it had underpaid stop-loss claims to hospitals, according to Payers & Providers. Anthem entered into the
SPOTLIGHT: CA mulls licensing for discount healthcare card plan
California regulators are looking at becoming one of the first states to require discount health card plans to be licensed as managed care organizations. The idea is to help consumers avoid getting
Blue Shield of California wins recission ruling
Over the past couple of years, California health insurance plans have been getting their clocks cleaned over rescissions of individual health insurance policies. Largely, courts and state agencies
Suit claims CA insurers discriminate against women
The city of San Francisco has filed a lawsuit against California's insurance regulators, arguing that they have permitted the state's health plans to charge more for women's individual health
CA judge tells insurer not to seek $1,000 settlements
A California judge has issued a temporary restraining order against health plan Anthem Blue Cross, barring the company from offering former customers $1,000 to give up the right to file legal claims
CA investigating Kaiser call centers
The state of California is investigating Kaiser Permanente's three call centers, responding to concerns that the health plan may be letting unlicensed staffers effectively make medical decisions by
CA Blues to offer renewed coverage to hundreds of former policyholders
Blue Shield of California has agreed to offer renewed coverage to 678 former PPO customers whose policies were rescinded since 2004. Back in July of last year, Blue Shield reached an agreement with
California's policy-cancellation war
This year the California health insurance industry fought an entrenched battle with regulators over the right to cancel individual policies--even retroactively--whenever they saw fit. The regulators
