Search for: "Blue Cross & Blue Shield Association "
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18 Oct 2011, 9:00 am
The event included speakers such as Alisa Bennett from Blue Cross Blue Shield of Michigan; Greg Rhodes from Mercer Health and Benefits, LLC; Margo Johnson from Mercer Health and Benefits, LLC; Nancy McKeague from Michigan Health and Hospital Association (MHA); and Julie Mann from JMann Consulting Group. [read post]
18 Aug 2011, 11:10 pm
Gallagher et al.Petitioners' reply Amicus brief of International Municipal Lawyers Association Title: Williams v. [read post]
1 Aug 2011, 5:32 pm
Since 1999, Anthem Blue/Cross Blue Shield has raised rates in the individual market 288 percent, Cioppa said. [read post]
27 Jun 2011, 11:30 pm
(Consider the Massachusetts Blue Cross Blue Shield ACQ (alternative quality contract) experience.) [read post]
31 May 2011, 6:35 pm
The Beacon Independent Physician Association, founded last year and has nearly 250 members, reached a three-year agreement with Empire Blue Cross Blue Shield. [read post]
5 May 2011, 1:49 pm
Here’s an opinion issued by the Philadelphia Bar Association. [read post]
4 Apr 2011, 5:05 am
The companies in question are WellPoint, the parent company of Anthem Blue Cross and Blue Shield of Virginia (VA), and Optima Health. [read post]
1 Apr 2011, 8:03 am
’s Cross-Mot. [read post]
30 Mar 2011, 1:16 pm
The involvement of Blue Cross Blue Shield raises concerns about a potential conflict of interest as private insurers use Medicare’s coverage determinations in setting their own coverage limits. [read post]
28 Mar 2011, 7:02 pm
Existing Homes Rose 2.1% in February Harry & David, Blockbuster, Madoff, Lehman: Bankruptcy Tullow Says Ghana Well Finds Hydrocarbons Close to Jubilee Gbagbo Supporters Rally in Abidjan for Incumbent Ivorian Leader Blue Cross Blue Shield Probe Expanded by Justice Department Story Tools e-mail this story print this story add to Business Exchange By Bill Rochelle (This report contains items about… [read post]
4 Mar 2011, 9:02 am
(Massachusetts, by way of example, has long had a Medicaid waiver for a PCP program, and Governor Deval Patrick recently announced his proposal to bring the ACO model into the Massachusetts commercial market across the board, after some early success seen with Blue Cross Blue Shield's Alternative Quality Contract.) [read post]
16 Feb 2011, 9:25 am
To hear Andrew Dreyfus, CEO of Blue Cross Blue Shield of Massachusetts, tell the story, the Blues wanted to address both quality and cost, and therefore (after looking in vain for a model elsewhere that could be transplanted to Massachusetts) developed the Alternative Quality Contract, or AQC, which features a global payment model hybridized with substantial performance incentives, plus design features intended to lower the cost of care over time. [read post]
7 Feb 2011, 12:18 pm
Blue Shield, which has recently garnered attention for requesting premium rate increases of up to 59 percent for individuals in California, denied nearly two million claims last year, trailing only Anthem Blue Cross, which denied nearly six million claims. [read post]
4 Feb 2011, 2:28 pm
BCBS Association, et al., Case Number 09 C 5619United States District Court, Northern District of Illinois On January 21, 2011, the United States District Court for the Northern District of Illinois dismissed the counterclaims of 23 Blue Cross/Blue Shield entities seeking recoupment of "overpayments" allegedly made to the plaintiff chiropractors. [read post]
20 Jan 2011, 2:20 pm
Blue Cross & Blue Shield of Mich., the Sixth Circuit observed that plan-wide claims are distinct from claims seeking to correct the denial of individual benefits. 409 F.3d 710, 718 (6th Cir. 2005). [read post]
7 Jan 2011, 3:14 pm
Justice Department filed suit in October against Blue Cross Blue Shield of Michigan, the largest provider of commercial health insurance in Michigan, over its use of “most favored nation” (MFN) clauses in contracts with hospitals across the state. [read post]
4 Jan 2011, 2:05 am
The court said that the age 65+ retirees are individuals who have been treated differently by their employer with respect to [their] compensation, terms, conditions, or privileges of employment.The court said that the fact that the county’s action was the result neither of some malevolent motive nor due to some hostile age-based stereotypes was irrelevant.Also of some significance is the Court’s rejection of the County’s argument that “... the underwriting criteria adopted by… [read post]
10 Dec 2010, 6:29 am
Blue Cross Blue Shield Of Michigan, No. 08-1085 (6th Cir. 2010), the defendant, Blue Cross Blue Shield of Michigan ("BCBSM") was a fiduciary of a self-funded health care plan (the "Plan"), which was maintained by Flagstar Bank for its employees and their families. [read post]
5 Dec 2010, 4:00 am
Kaiser Pernanente, Blue Shield, Blue Cross, Group Health Cooperative of Puget Sound, Pridential, New York Life, and many others. [read post]
30 Nov 2010, 5:37 pm
., Anthem Blue Cross of California, Blue Shield of California, Cigna Corp., Health Net Inc., Kaiser Foundation Health Plan and United Healthcare/PacifiCare. [read post]
