Search for: "Blue Cross and Blue Shield of Michigan" Results 61 - 80 of 98
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21 Aug 2012, 10:15 am
Justice Department and the Michigan Attorney General filed an antitrust complaint in October 2010 against Blue Cross Blue Shield of Michigan over its use of MFN clauses in contracts with hospitals. [read post]
14 Jun 2014, 2:58 am by Marty Lederman
  Of the other six, five have contracted with regulated private insurers (such as Blue Cross Blue Shield) to offer a health insurance plan to their employees, while the sixth offers its employees access to “self-insured” plans that are administered by private parties such as Blue Cross Blue Shield of Michigan and Express Scripts. [read post]
28 Jul 2011, 5:05 am by Steven M. Gursten
Michigan No-Fault has created a system of health care that’s more comprehensive than Blue Cross Blue Shield, Medicare, Medicaid, workers’ comp and anything else.  [read post]
25 Jan 2008, 6:19 am
Blue Cross Blue Shield of Michigan says the program was a one-time event to take advantage of the recent introduction of simvistatin, the generic equivalent of another brand-name statin, Zocor. [read post]
19 Jul 2019, 1:22 pm by The Health Law Partners
Godiali submitted false and fraudulent claims for the placement of stents in dialysis patients and for the treatment of arterial blood clots; exploited medical billing software to improperly maximize payments from Medicare, Medicaid, and Blue Cross Blue Shield of Michigan; submitted false and fraudulent claims to Medicaid, Medicare, and Blue Cross for services not rendered; and “unbundled” claims by exploiting modifier-59 to… [read post]
7 Dec 2012, 2:16 pm by Rahul Bhagnari, ACLU
In addition, the House also snuck in a ban on abortion coverage to the legislation that converts Blue Cross Blue Shield of Michigan into a nonprofit mutual insurance company. [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]
26 Nov 2011, 2:21 pm by Howard Ullman
DOJ was fairly active in civil non-merger enforcement work, including its ongoing American Express litigation, the Blue Cross Blue Shield of Michigan case (concerning most favored nation clauses with hospitals), and settlements with MasterCard and Visa over merchant rules. [read post]
27 Aug 2009, 2:53 am
The letters from Waxman and Stupak follow a letter from Representative John Dingell (D-MI) and Representative Sander Levin (D-MI) to Blue Cross Blue Shield of Michigan asking about executive compensation and a series of rate hikes. [read post]
14 Oct 2014, 12:24 pm by Scott Grabel
Dept. of Health and Human Services Office of Inspector General, the DEA, Michigan Attorney General’s Office, and Blue Cross and Blue Shield of Michigan investigative personnel. [read post]
29 Mar 2012, 6:34 am by Jared Klaus
Blue Cross Blue Shield of Michigan, No. 09-2607 (Aug. 12, 2011), the Sixth Circuit Court of Appeals reversed the district court’s decision to certify the class, which would have consisted of between 550 to 875 self-insured plans that entered into Administrative Services Contracts (“ASC’s”) with Blue Cross Blue Shield of Michigan (“BCBSM”). [read post]
7 Jun 2016, 1:46 pm by Dustin Dow
Blue Cross Blue Shield of Michigan, Nos. 15-1544/1551/1552, included class certification briefing and the named plaintiffs’ expert report that purported to detail the scope of antitrust damage suffered by three million to seven million putative class members. [read post]
7 Jun 2016, 1:46 pm by Dustin Dow
Blue Cross Blue Shield of Michigan, Nos. 15-1544/1551/1552, included class certification briefing and the named plaintiffs’ expert report that purported to detail the scope of antitrust damage suffered by three million to seven million putative class members. [read post]
13 Sep 2011, 2:42 pm
This point is reflected in the ongoing litigation against Blue Cross Blue Shield of Michigan and American Express.International Cooperation, CoordinationThe acting antitrust chief said that she worked closely with her predecessor, Christine Varney, setting antitrust priorities. [read post]
7 Jun 2010, 2:00 pm by Tom Lamb
The study is funded by a grant from the Blue Cross Blue Shield of Michigan Foundation.... [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]
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]
1 Mar 2011, 12:18 pm
The action is notable because it is the first unilateral conduct case brought under Sec. 2 of the Sherman Act in over a decade and because it is the first case brought by the Antitrust Division in the health care sector since the October 2010 civil antitrust lawsuit against Blue Cross Blue Shield of Michigan (BCBSM). [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]