Search for: "Blue Cross of California"
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11 Aug 5:13 am
... Court Holds Plaintiff filed a putative class action against Blue Cross of California alleging for violations of California's Unfair Competition Law (UCL) and false ... the cost of each group
member's treatment for infertility." Yeager v. Blue Cross of California, 175 Cal.App.4th 1098, 96 Cal.Rptr.3d ... knows how to establish a health plan's coverage and costs when it chooses," as evidenced by
California law mandating coverage for mental health in contrast to merely offering coverage for infertility ...
13 Feb, 2008 2:01 pm
... that would give the insurer cause to cancel new patients' health insurance coverage. "This letter was part of Blue Cross' pattern of unfairly canceling policies when people need coverage most," said Richard Frankenstein, the California ... tactic but continue to have serious concerns about this company's practices." It is just incredible to me that Blue Cross of California felt that it would be appropriate for doctors to
act as their private investigators to provide information detrimental to their ...
11 Jun, 2007 11:00 am
Blue Cross of California recently entered a settlement
agreement to resolve a class action lawsuit against the health insurer concerning the nature of its individual health insurance business practices. Blue Cross had been accused ... rescind individual health insurance policies when policy applications contained
intentional and wilful lies. In other words, insureds in California who make honest mistakes in an application for health insurance cannot have
their policies taken away from them when they ...
3 Aug 11:44 am
Methodist Hospital of Southern California has accused Blue Cross and Anthem affiliates in 10 states of RICO and ERISA violations. Methodist alleges that Blue Cross refuses to let it transfer patients from emergency ... any Blue Cross patient brought to its emergency room with life-threatening injuries. The hospital claims that in nearly every instance, Blue Cross refused to transfer the patient to an in-network hospital and then underpaid the hospital.
Blue Cross faces similar actions in courts ...
19 Apr, 2007 6:23 pm
In an earlier post at www.health-insurance-litigation.com, I had written about a putative class action filed on behalf of all California
hospitals against Blue Cross of California, Blue Cross Life & Health Insurance Company, and their parent company, WellPoint Health...
26 Mar, 2007 4:59 pm
By now, you've probably heard that Blue Cross of California
is being fined $1 million for improperly rescinding membership in their health plans. I'm busy writing a much longer post on the subject, but I thought I'd post links to the Department
of Managed Health Care's report and the Response by Blue Cross. They make interesting reading and
provide much more detail than I've seen in the press reports.
16 Jun 2:13 pm
... after policies of sick individuals were canceled. Congressional hearings began today where Rep. Bart Stupak (D-Mich.) charged Blue
Cross of California had encouraged employees to cancel the health insurance policies of individuals
with expensive illnesses. According to the Times' article, the ... . Henry Waxman (D-Calif.) stated that any such overhaul would be incomplete without an end to rescission. The L.A.
Times article can be read here: Blue Cross praised employees who dropped sick policyholders
3 Sep 6:02 pm
... denial rate -- 6.5 percent; PacifiCare the highest -- 39.6 percent. Anthem Blue Cross and Kaiser
each rejected 28 percent of claims, and Cigna ... The nurses association used public data from the health plans' financial reports posted on the California Department of Managed Care's website to conduct its analysis. "Every claim that is denied ... won't cover your bills. Now that's real suffering.
For a copy of the California Nurses Association analysis, go to http://www.calnurses.org/media-center/press- ...
1 May 10:03 am
Late last month a New Jersey federal court approved a class action settlement requiring Horizon Blue Cross of New Jersey to expand benefits for its 1.5 million policyholders with eating disorders, reports the New Jersey Law Journal ... attention to the
disparate treatment people with eating disorders - mainly women - receive from their health insurers. We hope California takes note and revises
its procedural quagmire, which proves to be simply another stalling tactic and roadblock carriers can take ...
11 Feb 11:21 am
The LA Times reports on the recent settlement reached between Anthem Blue Cross and the
California Department of Insurance. Lisa Girion writes, Anthem Blue Cross, the state's largest for-profit health insurer, has agreed to pay a $1-million fine and offer...
8 Sep, 2007 3:24 am
Blue Cross of California has decided to spend millions on
dollars to lobby against health reform in California. In response, a group called "It's OUR Healthcare" has set up a website, which contains
personal stories, a blog and some utube...
15 May, 2007 8:44 am
I have written previously about litigation involving Blue Cross of California and its parent, Wellpoint Health Networks, Inc., for their practice known as "use it and lose it," where a policyholder's health insurance coverage
is rescinded or cancelled once...
14 Oct, 2008 8:47 pm
Los Angeles City Attorney Rocky Delgadillo filed a lawsuit accused Anthem Blue Cross of
California of attempting to pay off plaintiffs involved in a class action over insurance rescissions. Paying off plaintiffs with money? How
awful! Wait, I thought that was the point...
2 Jan, 2008 3:00 am
... have provided incorrect information. Here is the court's ruling: We conclude [California Health and Safety Code] section 1389.3 precludes a
health services ... cannot stand. We also conclude a triable issue of facts exists whether Blue Shield engaged in bad faith, and that the
Haileys adequately alleged a cause of action ... regulators against insurance companies. Last May, I wrote this post about Blue Cross of California's decision to stop its practice of "use it and lose it," which is another name ...
1 Apr, 2007 2:06 pm
Recently, Bill posted on the travails of the California Blues and their "little problem" of denying claims and rescinding policies. As
IB readers may have suspected, however, other carriers sometimes cross the line, as well, as in the case of Assurant/Time/(whatever they're
calling themselves this week): "Three subsidiaries of a Milwaukee-based insurance holding company have agreed to restitution and a corrective action plan after the state ...
17 May 1:44 am
... in the health care fraud were more than a dozen insurance companies such as Aetna, Blue Cross and
Blue Shield, Healthnet and Cigna. In 2007, state and federal authorities charged Hampton and two other doctors with performing unnecessary
surgeries for such things as ... & Associates and Ann Schneider is a senior associate at Green & Associates in Los Angeles, California.
They focus their practice on the representation of licensed professionals and businesses in civil, business, ...
24 Jul, 2008 5:48 pm
Two of California's largest health plans will pay a combined $13 million in fines to resolve investigations by state insurance regulators.
Under the agreement, Anthem Blue Cross and Blue Shield will
also reinstate coverage for more than 2,000 policyholders whose coverage was wrongly rescinded during the past four years. Neither company admitted any wrongdoing as part of the
agreement. Lisa Girion, LA Times 07/18/2008 [www.latimes.com]
20 Jan 4:36 pm
... issue of reasonable reimbursement, and more specifically, whether the Medicare allowable rate should be considered reasonable reimbursement. The California Supreme Court determined that the Knox-Keene Act evidenced a legislative intent to prohibit balance billing in this context based ... emergency
room (i.e., non-contracting) doctors and HMOs, and (6) Bell v. Blue Cross of California (2005), wherein the Court of Appeal interpreted the Knox-Keene Act to permit emergency room physicians to sue the ...
29 Jan, 2008 9:31 am
As David Cross's character Tobias in the Fox cult TV favorite "Arrested Development" found out, the Blue Man Group is not a support group for sad men. Just ask James Srodon of California, who filed a lawsuit with the
Cook County Circuit Court, indicating that he was not a "willing" participant with the Blue Man Group during one of ... stage screen. Srodon
alleges that he did not want to participate, and the Blue Men forced the tube with the camera down his throat, and that the tube was covered
...
29 Jan, 2008 5:31 pm
As David Cross's character Tobias in the Fox cult TV favorite "Arrested Development" found out, the Blue Man Group is not a support group for sad men. Just ask James Srodon of California, who filed a lawsuit with the
Cook County Circuit Court, indicating that he was not a "willing" participant with the Blue Man Group during one of ... stage screen. Srodon
alleges that he did not want to participate, and the Blue Men forced the tube with the camera down his throat, and that the tube was covered
...
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