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


SYS-CON Media
VMware CTO Stephen Herrod to Keynote at SYS-CON's Virtualization ...
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And now it will be available on newsstands worldwide, as SYS-CON Media seeks to By Jeremy Geelan By RIA News Desk Curl announced the beta release of Curl ...
Source: Google News

Cultural Competence And Health Care Disparities: Key Perspectives And Trends -
JR Betancourt, AR Green, JE Carrillo, ER Park - < I> Health Affairs</I>, 2005 - healthaff.highwire.org
... 10 BlueCross BlueShield of Florida has also embarked ... Hinojosa, MediCal Managed Care,
California Department of ... Kathryn Linde, Blue Cross/Blue Shield of Minnesota ...

Knowledge-based systems for financial applications -
D Leinweber, I Analytics, CA Los Angeles - Expert, IEEE [see also IEEE Intelligent Systems and Their …, 1988 - ieeexplore.ieee.org
... familiar with rule- based programming may feel the next few paragraphs ?preach to
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The Property Rights Theory of the Firm: Empirical Results from a Natural Experiment -
HE Frech III - Journal of Political Economy, 1976 - JSTOR
... RD; Ginsburg, PB; and Vogel, RJ "Blue Cross-Blue Shield Adminis- trative ... California,
Los Angeles, 1974. s We seek the implicit price of an accounting error, Pe ...

Hospital Tiers in Health Insurance: Balancing Consumer Choice with Financial Incentives -
JC Robinson - Health Affairs, 2003 - Health Affairs
... under development by the BlueCross BlueShield Association) on ... 6.6 million enrollees
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Insuring More, Insuring Less: The Costs and Benefits of Private Regulation Through Insurance -
CA Heimer - Embracing Risk: The Changing Culture of Insurance and …, 2002 - books.google.com
... money from a friend rather than seeking a regular ... And those who seek loans from
nonprofits find that they ... Later Blue Cross and Blue Shield, the big third-party ...

[PDF] An Analysis of the Costs and Coverage Associated with Blue Shield of California?s Universal Health … -
KE Thorpe - Emory University, June, 2003 - blueshieldca.com
... Blue Shield of California recently released a proposal to extend health insurance
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Working group 6: The role of technology to enhance clinical and educational efficiency -
… Nissen, AM Abdulla, BK Khandheria, MG Kienzle, CA … - Journal of the American College of Cardiology, 2004 - Elsevier
... One concern about patients using the Internet to seek health information relates
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Influence of Patients' Requests for Direct-to-Consumer Advertised Antidepressants A Randomized … -
RL Kravitz, RM Epstein, MD Feldman, CE Franz, R … - JAMA, 2005 - Am Med Assoc
... thanks are due to Blue Shield of California, the University of California, Davis,
Primary ... San Francisco, and Excellus BlueCross BlueShield, Rochester ...

[PDF] New York Legislation Mandates Some Off-Label Drug Coverage -
L Schwab - jnci, 1991 - jnci.oxfordjournals.org
... sioner and Blue Cross and Blue Shield." Both sides ... ACCC is seeking sponsors for
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Drug product selection: legal issues -
… Christensen, DM Kirking, FJ Ascione, LS Welage, CA … - J Am Pharm Assoc, 2001 - aphanet.org
... the drug Less or no more expensive: Alaska, Arkansas, California, ... theory under which
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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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