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13 Dec 2020, 7:09 pm
Travelers Insurance) that permitted New York to impose a 13% surcharge on hospitals that used insurers other than Blue Cross/Blue Shield. [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]
4 Mar 2011, 9:02 am
(Massachusetts, by way of example, has long had a Medicaid waiver for a PCP program, and Governor Deval Patrick recently announced his proposal to bring the ACO model into the Massachusetts commercial market across the board, after some early success seen with Blue Cross Blue Shield's Alternative Quality Contract.) [read post]
16 Sep 2007, 4:12 am
Miller’s opponents specifically point to his position on the Texas Medical Advisory Committee of Blue Cross Blue Shield as evidence of his close ties with insurance providers. [read post]
3 Mar 2008, 6:00 am
Blue Cross and Blue Shield of Texas, Inc. v. [read post]
28 Oct 2013, 6:53 am
On appeal, the Sixth Circuit first noted that as adopted in Dana Corp v Blue Cross & Blue Shield Mutual of Northern Ohio, disqualification of counsel is appropriate if “(1) a past attorney-client relationship existed between the party seeking disqualification and the attorney it seeks to disqualify; (2) the subject matter of those relationships was/is substantially related; and (3) the attorney acquired confidential information from the party seeking… [read post]
12 Jan 2012, 12:07 pm
Examples of how states have used this authority include: In New Mexico, the state insurance division denied a request from Presbyterian Healthcare for a 9.7 percent rate hike, lowering it to 4.7 percent; In Connecticut, the state stopped Anthem Blue Cross Blue Shield, the state’s largest insurer, from hiking rates by a proposed 12.9 percent, instead limiting it to a 3.9 percent increase; In Oregon, the state denied a proposed 22.1 percent rate hike… [read post]
25 Oct 2018, 6:05 am
Consolidation of claims that would have proceeded anyway is not the same as class representations where a “self-selected plaintiff represents others,” citing Blue Cross Blue Shield of Mass., Inc. v. [read post]
10 May 2012, 1:27 pm
Health Business Blog's David Williams, a longtime HWR contributor and host, scores an interview with the CEO of Taxachusetts Massachusetts Blue Cross/Blue Shield. [read post]
14 Jan 2012, 12:09 pm
Horizon Blue Cross Blue Shield of New Jersey, the plaintiffs, parents of children who allegedly suffer from anorexia or bulimia, sued their health insurer for denying claims for benefits for their children. [read post]
22 Dec 2008, 4:33 pm
There's also a "cost exemption" if a health plan can prove that parity raises its total plan costs by more than 2 percent the first year and 1 percent afterward.Some insurers, such as Humana and Anthem Blue Cross and Blue Shield, have expressed support for the law, as have advocates. [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]
14 Jul 2012, 7:42 am
One of the biggest insurers in the country, the Blue Cross and Blue Shield Association, recently updated its daily deals Web site, which offers members discounts on things like eye surgery and gym memberships. [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]
24 May 2021, 12:45 pm
Blue Cross Blue Shield of Mich. (6th Cir. 2016), the Sixth Circuit distinguished between documents in the "discovery stage" and the "adjudication stage" of litigation. [read post]
26 Sep 2023, 2:30 pm
Blue Cross Blue Shield of Mich., 825 F.3d 299, 305 (6th Cir. 2016). [read post]
15 Jul 2012, 8:04 pm
She has written and edited publications produced by Blue Cross and Blue Shield of Alabama, The University of Alabama, and Vanderbilt University. [read post]
4 Sep 2008, 2:56 am
 New Jersey has, through Blue Cross and Blue Shield has been using something called the Leapfrog Hospital Rewards Program to offer incentives and bonuses that are quite substantial to hospitals that demonstrate improvement or demonstrate achievements in their performance. [read post]
30 Mar 2012, 7:58 pm
Empire Blue Cross & Blue Shield, 447 Pa.Super. 436, 669 A.2d 975, 983 (Pa.Super.1995). * * * Significantly, the court has declared that causes of action in the nature of a penalty are not assignable. [read post]
25 Nov 2015, 11:58 am
Gobeille argues that the burdens here are trivial – the claims administrator for respondent Liberty Mutual (Blue Cross/Blue Shield) already prepares the data that is required, because it provides that data for its non-ERISA operations in Vermont. [read post]
