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1 Mar 2011, 10:49 am
Horizon Healthcare, which operates as Horizon Blue Cross Blue Shield of New Jersey, also agreed to revise its current practices for processing claims when secondary to Medicare. [read post]
28 Feb 2011, 11:13 am
The Justice Department did file antitrust suits against companies such as American Express and Blue Cross Blue Shield of Michigan. [read post]
25 Feb 2011, 12:29 pm
But OPM then decided that Blue Cross/Blue Shield could not be ordered to provide the coverage, because that would violate the ban in DOMA. [read post]
18 Feb 2011, 7:47 am
Empire Blue Cross Blue Shield of New York, serving about 5 million members, is now instituting a pay-for-performance program that rewards physicians with greater reimbursement for complying with certain best practices. [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]
14 Feb 2011, 10:50 am
"Blue Cross is not to be confused with Blue Shield in this instance: the "Shield" has not agreed to the moratorium. [read post]
14 Feb 2011, 7:45 am
All five bills mirror the State Chamber's legislative agenda and serve to stack the deck in favor of State Chamber Board Members like Bank of America, Boeing, Conoco-Phillips, Chesapeake, Devon, Dollar Thrifty, OneOK, Blue Cross and Blue Shield. [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
., 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]
1 Feb 2011, 2:46 am
What's particularly interesting is the cross-connection between varying political factions being blamed at the same time. [read post]
23 Jan 2011, 10:44 pm
In Blue Cross and Blue Shield of Mass. v. [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, 7:13 pm
And this is being done as Republicans in Congress are trying (fortunately in vain) to repeal the recently enacted health care reforms, which if they were successful would allow companies like Blue Cross and Blue Shield to drop sick policyholders, deny coverage based on preexisting conditions, and rescind policies when a healthy person files a claim. [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]
6 Jan 2011, 9:54 am
Justice Department and the Michigan Attorney General filed a civil action in the federal district court in Detroit against Blue Cross Blue Shield of Michigan, the largest provider of commercial health insurance in Michigan, over its use of “most favored nation” clauses in contracts with hospitals across the state.Also in October, the U.S. [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]
29 Dec 2010, 12:54 pm
Blue Cross & Blue Shield of Alabama, 42 So.3d 1216 (Ala. 2010). [read post]
22 Dec 2010, 12:34 pm
Blue Cross Blue Shield of Michigan Seeks Dismissal of Government Antitrust SuitThis posting was written by Jeffrey May, Editor of CCH Trade Regulation Reporter.Blue Cross Blue Shield of Michigan has asked the federal district court in Detroit to dismiss an antitrust suit brought by the U.S. [read post]
20 Dec 2010, 11:43 am
Blue Cross Blue Shield published its reasons for denying coverage. [read post]
11 Dec 2010, 5:00 am
She also has held an executive position with Blue Cross Blue Shield of Missouri from 2003 to 2005. [read post]
