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27 Nov 2023, 12:34 pm by Daily Record Staff
As chair, Pieninck will assume […] The post CareFirst CEO Pieninck named national Blue Cross Blue Shield Association board chair appeared first on Maryland Daily Record. [read post]
13 Nov 2023, 10:58 am by Currin Compliance
Illinois Fines Blue Cross Blue Shield of Illinois $231,900 on Provider DirectoriesIn a follow-up investigation of company practices, the Illinois Department of Insurance (Department) fined the Health Care Services Corporation (HCSC), parent company of Blue Cross Blue Shield of Illinois (BCBSI) for apparent violations of the state’s Network Adequacy and Transparency Act (NATA). [read post]
30 Oct 2023, 10:20 am by Class Action Defense
McConnell Duane Morris Takeaways: On October 25, 2023, in the litigation of In Re Blue Cross Blue Shield Antitrust Litigation, MDL No. 2406 (11th Cir. [read post]
20 Oct 2023, 5:23 am by Mary Anne Peck
Last year’s increase was 1%. ( BLOOMBERG , KFF ) Linking Mental, Primary Care Doesn’t Increase Cost Research conducted by Penn Medicine and Independence Blue Cross showed that providing mental health services through primary care practices doesn’t increase the overall cost of those services for insurers. [read post]
19 Oct 2023, 4:31 am by Thaddeus Mason Pope, JD, PhD
 Learning Objectives:After this conference, attendees will be able to:Describe the nature of decision-making capacity, the tenuous nature of capacity assessments, and the vulnerabilities faced by patients with cognitive impairments in the course of their medical care.Describe different sociohistorical and moral positions on death, the clinical and moral contours of neurological death, and current controversies surrounding brain death declarations.Articulate the different ways in which patients… [read post]
12 Oct 2023, 8:20 am by Cari Rincker
Blue Cross Blue Shield, Kaiser Permanente, UnitedHealthcare, and Aetna are some of the major insurers that have SHOP plans. [read post]
26 Sep 2023, 2:30 pm by Dennis Crouch
Blue Cross Blue Shield of Mich., 825 F.3d 299, 305 (6th Cir. 2016). [read post]
31 Aug 2023, 8:11 am by Zak Gowen
  Blue Cross Blue Shield Association and its Michigan affiliate have asked a U.S. judge to dismiss a lawsuit from Ford Motor accusing them of a conspiracy that artificially inflated how much the automaker was paying for insurance premiums and other commercial health insurance services. [read post]
7 Aug 2023, 1:01 pm by centerforartlaw
US Blue Shield is providing advice and assistance whenever possible, along with Blue Shield International. [read post]
26 Jul 2023, 1:45 pm by Unknown
Blue Cross Blue Shield of Michigan (Tribal Contract Health; Discovery) State Courts Bulletin https://www.narf.org/nill/bulletins/state/2023.html In re Delila D. [read post]
25 Jul 2023, 7:59 am by Michael J. Podberesky and Timothy Fry
 Verdeza was a case brought by the United States against a physician assistant who produced fraudulent patient files and sought reimbursement from Blue Cross Blue Shield (BCBS) commercial healthcare insurance for physical therapy treatments that were never performed. [read post]
7 Jul 2023, 3:03 pm by Welcome
Some of the largest health insurance companies regularly deny what are otherwise valid and covered claims: Kaiser Permanente UnitedHealthcare Aetna Anthem Humana Blue Cross Blue Shield Insurance companies also often choose to deny claims because of the cost, even when a treatment or procedure should otherwise be covered. [read post]
3 Jul 2023, 8:12 am by Tom Mayo
As reported by thepharmaletter's "Brief," consumers and other direct purchasers, including the Blue Cross and Blue Shield Association, filed the antitrust lawsuit in 2019 in which they alleged Gilead Sciences and Teva [read post]
16 Jun 2023, 1:27 pm by Parks, Chesin & Walbert
Additionally, the insurance companies that provided the state with its health benefits plan — UnitedHealthcare and Anthem Blue Cross Blue Shield — allegedly warned the state that its plan’s express exclusion for gender-affirming care was discriminatory. [read post]
31 May 2023, 10:38 am by Peter S. Lubin and Patrick Austermuehle
Some of the country’s biggest health care insurance companies, including Blue Cross and Blue Shield, accused Walgreens of inflating their drug prices when submitting claims to the insurance companies for reimbursement. [read post]
26 May 2023, 5:52 pm by Ben Vernia
According to DOJ’s press release: Vasso Godiali, a vascular surgeon from Bay City, Michigan, was sentenced on May 3 to 80 months in prison for orchestrating a multimillion-dollar scheme to defraud health care programs by submitting claims for the placement of vascular stents and for thrombectomies that he did not perform and was ordered to pay $19.5 million in restitution collectively to Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan… [read post]