HMOs news from FierceHealthcare
News
CA bill gives state extra power to fine insurers who don't pay providers
In what is sure to be a cliffhanger, a bill has gone to California governor Arnold Schwarzenegger (R) for signature which would give the state beefed up power to fine HMOs and PPOs that don't pay Read more...
CA doctors say state health plans made $4.3B in profits
In a study sure to raise the stakes in its battle to regulate HMO spending, the California Medical Association has released a study concluding that California health plans generated $4.3 billion in Read more...
Health plans drop out of CT Medicaid over disclosure rules
Connecticut's Medicaid program is struggling to regain its equilibrium after a standoff over new provider contracting disclosure rules prompted a handful of health plans to jump ship. In 2007, Gov. Read more...
Case study: Kaiser physicians go on sales calls
It's not often that prospective health plan members get pitched directly by a physician. But at Kaiser Permanente Colorado, that's exactly what's happening. The HMO has launched a program under which Read more...
GA docs sue Blue plan over law
A contract fight between a group of Georgia physicians and BlueCross BlueShield of Georgia has erupted into a much-larger dispute over state rules on who plans must admit to their physician networks. Read more...
Calif. rules on MD visits through HMOs still stalled
Six years ago, California passed a new law requiring that HMO patients get timely appointments with their doctors. State regulators thought they had licked the problem--but they were a bit too Read more...
Mass. AG investigates non-profits' help to communities
Massachusetts Attorney General Martha Coakley has pulled together a task force to investigate whether not-for-profit hospitals and HMOs are meeting their obligations under the state's Community Read more...
UnitedHealth's McGuire gives up $400M in assets
While the man is still rolling in bucks, this has gotta hurt. UnitedHealth Group former CEO has agreed to surrender more than $400 million under new agreements reached with his former employer and Read more...
Minnesota HMOs have a slow year
Minnesota's HMOs had a rough 2006, with enrollment and profits dropping despite premium increases that exceeded those in the year before. Enrollment fell 8.2 percent last year, down to 915,000, from Read more...
Illinois doctors fight Medicaid HMO plan
Providers are steamed up over an Illinois proposal to force some of the state's Medicaid patients to enroll in HMOs, possibly forcing some out of their care. Because the plans haven't been popular Read more...
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