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17 Feb 2020, 1:33 pm
A group of health insurers in the United States also plan to manufacture generic drugs: The Blue Cross Blue Shield Association (BCBSA), 18 independent and locally-operated Blue Cross and Blue Shield (BCBS) companies and Civica Rx (Civica, Inc.) announced today their partnership to create a new subsidiary dedicated to lowering the cost of select generic drugs. [read post]
2 Feb 2020, 7:37 am
Writing a Code of Practice can be as censorious as wielding a blue pencil. [read post]
24 Jan 2020, 6:23 am
Nice to see one of the 800 pound insurance gorillas bringing its own guns to bear on the problem:"Health insurers usually just pay for drugs that are made by drug companies, but now a group of 18 Blue Cross Blue Shield health insurers is helping to create a nonprofit drug company to make certain generic drugs itself, targeting medicines where there is a lack of competition and a need to bring down prices. [read post]
5 Jan 2020, 2:52 pm
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
5 Jan 2020, 2:52 pm
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
1 Jan 2020, 9:00 am
The False Claims Act was enacted during President Abraham Lincoln’s administration. [read post]
31 Dec 2019, 8:13 am
Below is our quarterly newsletter. [read post]
23 Dec 2019, 11:32 am
Recent Cybercrimes Data stolen from 50 million credit cards from Home Depot’s database Data stolen from 76 million individuals and 7 million businesses from JPMorgan Chase’s customer database Breach of Yahoo compromising the data of 1.5 billion customers 79 million healthcare customers’ data stolen from Blue Cross and CareFirst Blue Shield’s database 700,000 Social Security numbers stolen from the Internal Revenue Service Records… [read post]
4 Dec 2019, 12:53 pm
Blue Cross and Blue Shield of North Carolina was owed $130 million for 2014, with that number rising to more than $215 million for 2015. [read post]
3 Nov 2019, 8:54 am
’ And then one day — one day — Blue Cross/Blue Shield is going to text you from the club saying, 'Baby, I miss you.' And you’re going to say: 'New phone, who dis? [read post]
23 Oct 2019, 5:14 pm
While the HIPAA-covered entity that paid the $2,154,000 civil monetary penalty, JHS, is a Florida-based nonprofit academic medical system, rather than a health plan, the $1,500,000 HIPAA resolution payment OCR previously collected from Blue Cross Blue Shield of Tennessee (BCBST) in 2012 for its breaches of HIPAA make clear that health plans and insurers risk similar penalties for HIPAA violations. [read post]
19 Oct 2019, 5:48 am
Blue Cross and Blue Shield of Texas and Garrison & Associates. [read post]
18 Oct 2019, 10:11 am
New York SHIELD Act Heightens the State’s Privacy Regulations. [read post]
23 Sep 2019, 10:37 am
[This reasoning conflicts with the Third Circuit’s Blue Cross/Blue Shield case, which says that the substantive limits on the Lanham Act—specifically the commercial speech part—are sufficient to protect the speech interests of those targeting public figures, but the result is perfectly consistent.]Coral Ridge argued that SPLC used the Hate Map and “hate group” designations to promote and make money from Hate-Map-related “goods… [read post]
10 Sep 2019, 11:15 am
We serve on the plaintiff’s leadership committee of the Blue Cross Blue Shield MDL alleging the health insurer conspired to fix prices and allocate territories. [read post]
3 Sep 2019, 5:34 am
Liens such as Mass Health, Medicare, Tufts, Blue Cross Blue Shield, Harvard Pilgrim, are some liens that may be asserted against a potential settlement. [read post]
19 Aug 2019, 1:12 pm
Elizabeth Healthcare is the first hospital system in Greater Cincinnati to partner with Anthem Blue Cross and Blue Shield to help patients and their employers limit so-called shock claims, which can cost $1 million or more to treat a catastrophic illness such as cancer. [read post]
14 Aug 2019, 2:55 pm
We are often hired by people justifiably angry after their Blue Cross-Blue Shield plan declined to pay for their amulance, hospital, and doctor bills. [read post]
8 Aug 2019, 12:19 pm
Picente, Jr. through the Childhood Lead Poisoning Primary Prevention Grant in partnership with Cornell Cooperative Extension Oneida, the Oneida County Health Department, the New York State Department of Health, Tompkins County Public Health, Steuben County Public Health, Excellus Blue Cross Blue Shield and Mohawk Valley Pictures. [read post]
19 Jul 2019, 1:22 pm
Godiali submitted false and fraudulent claims for the placement of stents in dialysis patients and for the treatment of arterial blood clots; exploited medical billing software to improperly maximize payments from Medicare, Medicaid, and Blue Cross Blue Shield of Michigan; submitted false and fraudulent claims to Medicaid, Medicare, and Blue Cross for services not rendered; and “unbundled” claims by exploiting modifier-59 to falsely… [read post]
