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10 Dec 2010, 11:07 am
Issued: 12/2010/2895/TSSBENEFITS OFFERED TO MARYLAND STATE EMPLOYEES: Medical/Health Insurance Plans:PPO PlansCareFirst Blue Cross/Blue Shield PPO United Healthcare PPO POS PlansCareFirst Blue Cross/Blue Shield MPOS Aetna Choice POS II United Healthcare Choice Plus POS EPO PlansCareFirst Blue Cross/Blue Shield EPO Aetna Select EPO United Healthcare Select EPO Prescription PlanDental… [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]
8 Dec 2010, 10:56 am
., (the Act) in 1994 to allow Blue Cross Blue Shield of Michigan (BCBSM) to purchase the state accident fund, a for-profit workers’ compensation insurer, BCBSM formed the Accident Fund as a wholly-owned, for-profit Michigan stock insurance subsidy. [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]
2 Dec 2010, 10:32 am
The Justice Department’s civil antitrust lawsuit against Blue Cross Blue Shield of Michigan alleging that the insurer used its dominance to impose anti-competitive “Most Favored Nation” provisions in its agreements with Michigan hospitals was cited as an example of the agency’s “measured enforcement to prevent . . . anticompetitive behavior. [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]
29 Nov 2010, 8:15 am
KeySpan Corporation (CCH Trade Regulation Reporter ¶50,975).In addition, the Division filed civil antitrust lawsuits against Blue Cross Blue Shield of Michigan and (together with seven states) against American Express, MasterCard, and Visa.In the first suit, the Division challenged “most-favored nations” (MFN) clauses in Blue Cross’s agreements with hospitals that allegedly limit the discounts the hospitals can offer to… [read post]
26 Nov 2010, 11:01 am
There was a brief time when the city’s health insurance with the Blue Cross and Blue Shield of Alabama had lapsed but was later restored in October. [read post]
25 Nov 2010, 8:03 am
And speaking of unethical behavior, Michigan’s Blue Cross Blue Shield has been caught in the act of fraudulently enriching itself, and is now facing several lawsuits, according to the Detroit Free Press. [read post]
23 Nov 2010, 10:47 am
Anthem Blue Cross, Blue Shield of California and Health Net each received two stars overall in that category. [read post]
18 Nov 2010, 3:52 pm
The first is a discussion of the DOJ’s case against Blue Cross Blue Shield, which as discussed here, turns on an economic analysis of the use of most-favored nations clauses in contractual arrangements with hospitals: On October 18th of this year, the Division and the Michigan Attorney General filed a civil antitrust lawsuit against Blue Cross Blue Shield of Michigan (“Blue… [read post]
17 Nov 2010, 12:08 pm
He used to be a PR guy for Blue Cross/Blue Shield Association. [read post]
12 Nov 2010, 11:47 am
Former Seattleite and now social media manager for Blue Cross Blue Shield of Michigan, Shannon Paul, has a wonderful post on the '3 Myths Stopping Regulated Biz From Embracing Social Media.' By regulated industries, Paul is generally referring to businesses in finance/banking/securities, health care (insurance/hospitals/doctors), pharmaceuticals, government agencies themselves, spirits and insurance (property/casualty). [read post]
11 Nov 2010, 10:01 pm
Hannon, a Blue Cross-Blue Shield executive, provides a particularly lucid explanation in this recent WSJ op-ed on how one of the unintended consequences of Medicare was the negative impact it had on the delivery of primary care to patients: Medicare introduced a whole new dynamic in the delivery of health care. [read post]
9 Nov 2010, 10:27 am
” See DOJ Press Release, Justice Department Files Antitrust Suit Against Blue Cross Blue Shield of Michigan (Oct. 18, 2010) and DOJ Complaint. [read post]
7 Nov 2010, 3:03 pm
Justice Dept. sues Blue Cross Blue Shield of Michigan for using most favored nation contract clauses http://bit.ly/97lHQ9 # What's a meter? [read post]
5 Nov 2010, 12:09 pm
Cole had asked her original attorney to call a Blue Cross Blue Shield investigator to testify that Cole was working with the insurance company after reporting that her employer was filing fraudulent health insurance claims. [read post]
5 Nov 2010, 7:08 am
Blue Cross Blue Shield of Michigan, the DOJ and the Michigan AG allege that Blue Cross has eliminated competition from other health insurers and raised Michigan health insurance prices through the use of “most favored nation” (MFN) clauses in its contracts with hospitals. [read post]
1 Nov 2010, 8:31 pm
However,… Revealing Socioeconomic Factors That Influence Your Health (supplement to the unequal distribution of health in the Twin Cities report) Contributing organization(s): Blue Cross and Blue Shield of Minnesota Foundation. [read post]
27 Oct 2010, 3:02 pm
The central claims under the Employee Retirement Income Security Act of 1974 (“ERISA”) have already been upheld in Pomerantz’ action against 23 Blue Cross and Blue Shields entities, and intense nationwide discovery is now proceeding. [read post]
