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10 Sep 2018, 5:26 am
  Federal law governs most of th ose health plans — and it does not include such protections.About 60 percent of people with employer health benefits are covered by self-insured plans, but many don’t even know it, since employers typically hire an insurer to administer the plan and employees carry a card bearing the name of Blue Cross Blue Shield or another major insurer.States have the right to regulate INSURED products issued within… [read post]
28 Aug 2018, 6:30 am by Jacob Lazarovic, M.D.
He has been published extensively in industry journals and has held several senior medical management positions at companies including HealthAmerica, Blue Cross/Blue Shield of Florida and Vivra Specialty Partners The post Quality Job Profiles Are Critical to Optimally Manage Workers’ Compensation appeared first on Work Comp Roundup. [read post]
22 Aug 2018, 10:30 am
Well, hopefully, anyway:"Blue Cross and Blue Shield of North Carolina says premiums paid by Affordable Care Act customers in the Triangle will decrease more than 21 percent on average next year because of a new partnership with UNC Health Care. [read post]
21 Aug 2018, 8:16 am by Elizabeth Kruska
  Most of us are probably most familiar with how they are tasked with regulating insurance rates for Blue Cross Blue Shield and MVP’s Vermont Health Connect plans.However, this case doesn’t involve that bit of their statutory charge. [read post]
20 Aug 2018, 1:49 pm by John Leinicke, Esq. HCRM
Palma’s company filed $5.7 million in fraudulent claims to Blue Cross Blue Shield with one clinic and then an additional $5.9 million in fraudulent claims to Blue Cross and Cigna with another clinic. [read post]
14 Aug 2018, 1:58 pm by Anthony Carbone, PC
Companies like Blue Cross/Blue Shield, Aetna, Cigna – and others – have a right of subrogation. [read post]
6 Aug 2018, 10:24 am by Robert Kraft
The new measure is expected to affect about 500,000 Texans with Blue Cross and Blue Shield health maintenance organization (HMO) plans. [read post]
29 Jul 2018, 8:35 am by Steven Cohen
Blue Cross Blue Shield Of Louisiana – United States District Court – Middle District of Louisiana – January 28th, 2018) involves a claim of violation of the American with Disabilities Act. [read post]
26 Jul 2018, 9:01 pm by Jim Sedor
Randy Davis was indicted on charges of conspiracy and bribery over what prosecutors describe as an attempt to pressure Blue Cross Blue Shield (BCBS) to cover insulin therapies offered in health clinics in which he had a financial interest. [read post]
12 Jul 2018, 6:45 am by Jeff Wurzburg (US)
  America’s Health Insurance Plans and the Blue Cross Blue Shield Association promptly released statements critical of the Trump Administration’s decision to freeze risk adjustment payments. [read post]
13 Jun 2018, 12:06 pm by Michael Bertoncini
Below are additional Jackson Lewis resources that address employee handling of sensitive personal information in the healthcare industry: Dealing with Data Breaches: Health Net Suit Highlights Need for Effective Security Incident Procedures and Training Blue Cross/Blue Shield Data Breach Highlights Need for Employee Training/ Awareness [read post]
13 Jun 2018, 12:06 pm by Michael Bertoncini
Below are additional Jackson Lewis resources that address employee handling of sensitive personal information in the healthcare industry: Dealing with Data Breaches: Health Net Suit Highlights Need for Effective Security Incident Procedures and Training Blue Cross/Blue Shield Data Breach Highlights Need for Employee Training/ Awareness [read post]
4 Jun 2018, 3:04 pm by Eugene Volokh
Horizon Blue Cross Blue Shield of N.J., 663 F.3d 1124, 1135 (10th Cir. 2011). [read post]
1 Jun 2018, 2:17 pm by Tom Smith
Blue Cross & Blue Shield of Rhode Island is striking not only because it’s a “monopolization” case—challenging the unilateral conduct of one big firm—and not only because it becomes the virtually unheard-of monopolization case that goes to trial. [read post]
14 May 2018, 10:36 am by Breakstone, White & Gluck
According to the City of Boston, Blue Cross and Blue Shield will offer free rentals on Friday. [read post]
11 May 2018, 1:10 pm by William K. Berenson
Last year, Anthem Blue Cross Blue Shield announced that many medical conditions would not be covered in the future. [read post]
3 May 2018, 2:32 pm by Regan Zambri Long
As this hopeful article reports, Blue Cross Blue Shield monitored prescription data for patients compared to the number of claims, and they discovered that North Carolinians in particular had been filling significantly fewer antibiotic prescriptions—just 66.8 prescriptions per 100 patients in 2017, down from 87.4 in 2010. [read post]