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Recent News and Articles on the Keywords: blue shield + california + fine  Related to the article below (Last Update: 8/5/2008)


ABC News
State regulator strikes deal with Blue Shield of California over ...
Bizjournals.com, NC - Jul 17, 2008
DMCH officials said that Blue Shield's fine is steeper than others because the insurer did not sign a deal with state regulators immediately. ...
LA city attorney sues Blue Shield of California over health ... Los Angeles Times
2 health insurers to pay $13M to Calif. regulators The Associated Press
Blue Shield sued over alleged deceptive practices Forbes
California Healthline - Bizjournals.com
all 406 news articles »
Blues plans settle rescission cases in California
American Medical News (subscription) - Aug 3, 2008
In the latest settlements, reached July 17, Blue Shield agreed to pay a $3 million fine, and Anthem parent company WellPoint agreed to pay a $10 million ...

TheMedGuru
WellPoint settles with California hospitals over rescissions
Los Angeles Times, CA - Jul 8, 2008
Blue Cross, along with competitor Blue Shield, have failed to come to terms with the department over rescissions. The department is seeking deals that would ...
Anthem Blue Cross, Blue Shield of California Face Fines for ... California Healthline
Anthem Blue Cross to pay Calif. hospitals $11.8M CNNMoney.com
Health Care Marketplace | WellPoint Agrees To Pay $11.8M to ... Kaiser network.org
San Francisco Chronicle
all 106 news articles »  WLP
Nanomagnets tackle cancer
Science News - Aug 4, 2008
Ultimately, those beads will receive a coating to shield the potentially toxic cobalt and to keep the nanonuggets from looking like foreign objects that the ...
Health Care Reform: How the Citizens can Lead
ePluribus Media - Aug 1, 2008
A few months ago I initiated investigations into Health Net and Blue Shield. Instead of paying sick policy holders for claims, insurers are waiting for you ...
Zion & Zion, SRP, Blue Cross Blue Shield of Arizona, US Airways ...
Market Wire (press release) - Jul 28, 2008
These firms include marketing and advertising firm Zion & Zion, utility provider SRP, health insurer Blue Cross Blue Shield of Arizona, chip maker Intel and ...
WellPoint narrows full-year guidance
Forbes, NY - Jul 23, 2008
Company officials attributed the narrowed guidance to lower fully insured membership and the settlement of rescission issues in California, where the ...WLP

The Age
Idiot box wises up
The Age, Australia - Aug 1, 2008
Consider the following, drawn from the past five years: The Wire, Six Feet Under, The Office, Extras, Mad Men, Friday Night Lights, The Shield, Flight of ...
Freddie Mac moves to sell stock
Fort Wayne Journal Gazette, IN - Jul 19, 2008
Anthem Blue Cross, a unit of Indianapolis-based WellPoint Inc., will pay $10 million and reinstate coverage for 1770 enrollees while Blue Shield of ...FRE
Gay-marriage advocates hope to repeal old law
Boston Globe, United States - Jul 9, 2008
Although he resigned last year to become president of the Blue Cross Blue Shield Foundation, his legislation is still pending and will be championed by ...
Source: Google News

Business process reengineering at Blue Shield of California: the integration of multiple change … -
MW Stebbins, ABR Shani, W Moon, D Bowles - Management, 1998 - emeraldinsight.com
... we describe the context and the implementation of BPR at Blue Shield of California
(BSC). ... On the other end of the continuum we find the integrated learning ...

Tobacco industry documents: treasure trove or quagmire? -
RE Malone, ED Balbach - British Medical Journal, 2000 - tobaccocontrol.bmj.com
... of Minnesota and Blue Cross and Blue Shield of Minnesota ... successive search strings
in order to fine tune the ... the website of the University of California at San ...

What the For-Profit Trend In Health Care Really Means
P Wynn - MANAGED CARE, 1996 - managedcaremag.com
... "We are doing fine the way we ... In the Midwest, Blue Cross and Blue Shield of Kansas
is also ... leaders, and in the managed care hotbed of California the granddaddy ...

Plastic Geocells
… M Clinton, BCB Shield, M Southfield, J California … - Porous Pavements, 2005 - books.google.com
... Mississippi 301 Blue Cross Blue Shield, Southfield, Michigan 302 ... 307 Residence, Santa
Monica, California 308 Gravelpave 2 ... better than does fine-textured soil ...
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[PDF] THE MONEY VULTURES -
E Gottlieb, J Doroshow - centerjd.org
... 19 In 1996, Blue Shield of California pled guilty to three felony counts and agreed
to pay the statutory maximum $1.5 million fine for hiding Medicare claims ...

Better quality care, bigger paycheck. -
K Terry - medec.com
... plans?Aetna, Blue Cross of California, Blue Shield of California ... performance, even
if some groups find it difficult to ... this as one more California fad that won ...
-

Divers?Cosmetics
CBSUNS SPORT - xray-mag.com
... Divers often find themselves out in the elements under a harsh sun in the tropics
or scathed by whip- ping icey winds in ... CARIBBEAN BLUE - SUN SHIELD SPORT ...
-

[PDF] Pay for Performance: An Economic Imperative for Clinical Information Systems -
RN MS, C BC - himss.org
... Aetna, Blue Cross/Blue Shield of California, CIGNA CA, Health Net and PacifiCare ...
Besides treble damages, there is a $10,000 fine per false claim. 12 ...

Moving ux into a position of corporate influence: whose advice really works?
RI Anderson, J Ashley, T Herrmann, J Miller, J … - 2007 - portal.acm.org
... remained within one or the other and actually think that is fine or even ... Shauna Sampson
Eves is a Director of User Experience for Blue Shield of California. ...
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[CITATION] New England?s Blue Cross Blue Shield Shake-Out: A Case Study in Consumer Activism
H Pilgrim, R Island?s
-

Source: Google Scholar

Calif. seeks to fine Blue Shield for cancellations

Last Updated: 2007-12-14 10:30:26 -0400 (Reuters Health)

By Gina Keating

LOS ANGELES - California's top insurance regulator filed an enforcement action against Blue Shield of California Life & Health Insurance Co on Thursday, accusing the company of illegal behavior toward policy holders and seeking a $12.6 million fine.

California Insurance Commissioner Steve Poizner has asked an administrative law judge to fine Blue Shield $12.6 million after an investigation into consumer complaints yielded 1,200 violations of insurance law in 2004 and 2005.

Poizner said his agency would audit the company's claims handling through the current year and then would scrutinize the state's other major insurers.

"This is very important and people are complaining about it and I assure people we will get to the bottom of it," Poizner told Reuters. "We are sending a message to every health insurance company in California to clean up their act."

The allegations against Blue Shield include retroactive cancellation of policies after insured individuals made claims, denial of legitimate claims and failure to pay claims in a timely manner.

In a statement, Blue Shield President Duncan Ross said the company is "outraged" by the fines for what it considered "nonsubstantive issues." He accused Poizner of trying "to retroactively change the rules in the middle of the game" for the insurance industry.

"The department's position penalizes practices that have been previously approved ... and have been followed for years by all health insurers," Duncan said.

The lawsuit goes to an administrative judge in Sacramento who will rule on the allegations and the fine and on the department's demand that Blue Shield pay out-of-pocket expenses for policyholders whose claims it illegally denied.

Blue Shield faces a proposed class action lawsuit brought by former policy holders who accused it of trying to avoid paying claims by retroactively canceling their policies on the grounds they lied on their applications.

The retroactive cancellations at Blue Shield and four other HMOs are under review by the state Department of Managed Care. The other HMOs under review are Kaiser Foundation Health Plans Inc, PacifiCare Health Systems Inc and Blue Cross of California, which is operated by WellPoint Inc. UnitedHealth Group Inc bought PacifiCare in 2005.

Copyright © 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world.

 
 
 
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