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In 2015, Anthem, the second-largest health carrier, which operates the Blue Cross Blue Shield brand in 14 states, agreed to merge with third-largest Cigna, in what would be the biggest-ever merger of health insurers. [read post]
5 May 2019, 9:05 pm by Allison K. Hoffman
As one example, the 2018 salary for the CEO of Blue Cross and Blue Shield of Michigan was recently reported to be $19 million, which is not an unusual sum among health care executives. [read post]
25 May 2023, 11:33 am by jeffreynewmanadmin
Vasso Godiali, a vascular surgeon from Bay City, Michigan, was sentenced 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 (BCBSM). [read post]
14 Aug 2007, 2:22 am
Blue Cross and Blue Shield of Florida, Inc., 19 F.3d 562, 566-67 (11th Cir.1994)); see also United States ex rel. [read post]
1 Feb 2008, 12:04 am
Horizon Blue Cross Blue Shield of New Jersey claims that the children's online writings could shed light on the causes of the disorders, and help determine the insurer's responsibility for payment. [read post]
The plaintiffs, who were insured under a Blue Cross Blue Shield of Texas health insurance policy, received medical care at NLMC for injuries sustained in an automobile accident. [read post]
5 Sep 2012, 8:50 am by David Harlow
The only other insurance plan on offer statewide is Blue Cross Blue Shield, so if the CO-OP can build or rent a provider network quickly, and differentiate itself in the various markets statewide, it has the potential to become a real powerhouse. [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]
11 Dec 2011, 7:03 pm by admin
She has written and edited publications produced by Blue Cross and Blue Shield of Alabama, The University of Alabama, and Vanderbilt University. [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]
14 May 2012, 3:35 am
In 1990 the parties entered into a new CBA, and health insurance coverage was changed to Blue Cross/Blue Shield, which did not require the reimbursement of Medicare Part B premiums. [read post]
10 Oct 2011, 12:15 pm by Law Lady
Circuit Court of Appeals rejected the provider's argument that OPM incorrectly interpreted the employee's health plan with Blue Cross Blue Shield of Kansas. [read post]
7 Jun 2014, 6:45 am by Mark S. Humphreys
In Dallas County, Sylvia Leyva-Talamantes billed Blue Cross and Blue Shield for 110 health claims for services that were not rendered. [read post]
28 Dec 2008, 5:35 pm by Michael Stevens
Anthem Blue Cross and Blue Shield     Southern District of Ohio at Cincinnati 08a0454p.06  USA v. [read post]
8 Apr 2015, 10:14 pm by Jeff Nowak
Blue Cross Blue Shield of Tennessee (pdf)  Using a rather straightforward analysis — that the employee had not required “continuing treatment” by a health care provider — the court determined that the employer was not required to provide FMLA leave in this instance. [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]
27 Mar 2024, 5:40 pm by Vincent Joralemon
Luckily, many insurers do—Cigna, Aetna, Blue Cross Blue Shield, United Healthcare, Medicaid, and Medicare all provide coverage. [read post]