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Posts from the ‘Insurance’ Category


Taking on Blue Cross

When a Michigan firm devised a plan to help Ford Motor Co. cut costs on physical therapy, it drew fire from the state’s largest insurer – and showed how tough it is to revamp health care. Read more here from the Nov. 10 issue of USA Today…
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Employer Health Benefits 2010 Annual Survey

The average employee contribution toward premiums for family coverage rose 14% in 2010 to nearly $4,000, according to the Kaiser Family Foundation and the Health Research and Educational Trust in a report released September 2. Contributions for single coverage grew 15%. However, the total premium cost – that split by employer and employee – rose…
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Anthem withdraws rate hike request

California health insurer Anthem Blue Cross canceled rate hikes of as much as 39% for thousands of California policyholders Thursday after state regulators said the plan was “seriously flawed.”

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Unchecked Provider Clout in California Foreshadows Challenges to Health Reform

A Web First article from the journal Health Affairs, supported by CHCF, examines the market power of California hospitals and physicians to negotiate higher payment rates. While the high cost of private health insurance has drawn plenty of attention in the national health reform debate, this underlying driver of higher insurance premiums has gone largely…
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Poizner Accuses Anthem of More Than 700 Violations of State Law

On Monday, Insurance Commissioner Steve Poizner (R) announced that a year-long investigation by his office found that Anthem Blue Cross of California committed 732 violations of state law between 2006 and 2009, the San Francisco Chronicle reports (Colliver, San Francisco Chronicle, 2/23).

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Congress opens probe into Anthem Blue Cross rate increases

Feb. 10, 2010 (McClatchy-Tribune Regional News delivered by Newstex) — Congress opened an investigation Tuesday into Anthem Blue Cross’ impending rate increases in California as President Obama cited the premium hikes — some as high as 39% — in his bid to pass national healthcare legislation.

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Illlinois ASC Claim Re: Interference with Contracting

U.S. District Court Rules Peoria Day Surgery Center Can Pursue Federal and State Antitrust Claims Against St. Francis Medical Center – Denies in Part and Grants in Part SFMC Motion for Summary Judgment

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Lawsuit against Ingenix and United Healthcare

Today, Hooper, Lundy & Bookman, Inc. (HLB) filed a national class action complaint on behalf on non-contracted ASCs across the country, challenging United Healthcare Group’s and other health plans’ misuse of the Ingenix database to knowingly under-reimburse ASCs by millions of dollars over many years.

Read more:  Lawsuit against Ingenix and United


Blues Facing Lawsuit over Reduced Payment to N.J. ASCs

Horizon Blue Cross Blue Shield of New Jersey is facing a complaint filed against it over practices concerning reimbursements to ambulatory surgery centers in that state. According to Modern Healthcare, The Alliance for Quality Care has filed a complaint with the New Jersey banking and insurance commissioner’s office arguing that the…
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Premera Joins Rush Toward Wellness Programs

The Puget Sound Business Journal writes :Health insurers market coverage to businesses for employees who fall sick, but now more of them are selling services aimed at helping employers keep their workers well…

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