February 21, 2001 |
The huge Sutter Health network in Northern California and Blue Cross of California said they agreed to a new contract that will allow Blue Cross members to continue to have access to Sutter's doctors and hospitals. Sacramento-based Sutter, which operates 26 hospitals and six doctor groups, had let its Blue Cross contract expire on Dec. 31. Sutter wanted Blue Cross to increase the fees it pays the provider for hospital stays and to change rules for analyzing claims.
February 15, 2001 |
Blue Cross of California said Wednesday that it settled a lawsuit from one of California's largest hospital chains that had contended that the big insurer routinely declined to pay for patient services as a way to boost profitability. Separately, the Woodland Hills-based health plan said it reached a new contract with St. John's Health Center in Santa Monica. The 233-bed hospital stopped accepting Blue Cross insurance in August, protesting the insurer's payment rates.
CALIFORNIA | LOCAL
February 6, 2001 |
The chief executive of L.A. Care Health Plan, the nation's largest public managed care program, has been placed on a leave of absence because of concerns that he has a conflict of interest, officials said Monday. Anthony Rodgers, 52, was placed on leave from his $242,000-a-year post last Friday when the board met to discuss concerns that Rodgers had recently married a staff member of Blue Cross, one of the health plans participating in L.A. Care, without properly notifying the board, L.A.
CALIFORNIA | LOCAL
November 28, 2000 |
Blue Cross of California, an operating subsidiary of WellPoint Health Networks Inc. in Thousand Oaks, has been honored by California Medical Review Inc. for successfully implementing measures that improve the quality of health care. CMRI, the Medicare health care quality improvement organization for California, annually recognizes hospitals, health plans and medical groups in the state. Blue Cross of California, with 5.
August 15, 2000 |
Negotiations between Blue Cross of California and hospital chain Catholic Healthcare West were expected to continue late Monday in anticipation of a midnight deadline for the expiration of the hospital chain's contract with the giant health plan.
August 5, 2000 |
A contract between St. John's Hospital & Health Center in Santa Monica and Blue Cross expired late Friday, which could make visits to that hospital more expensive for as many as 33,000 patients covered by the insurer. St. John's officials, who could not be reached for comment Friday, said earlier in the week they would not continue to accept Blue Cross because it had failed to adequately reimburse the hospital for patient care.
May 26, 2000 |
California doctors on Thursday launched their broadest legal assault yet on managed care, accusing three of the biggest HMOs of conspiring to keep doctors' fees low, lying to doctors and patients about the quality of care members would receive, and attempting to illegally insert themselves into the doctor-patient relationship. In a lawsuit filed in U.S. District Court in San Francisco, the 30,000-member California Medical Assn.
May 4, 2000 |
WellPoint Health Networks Inc., one of California's biggest health insurers, said its Blue Cross of California unit will stop processing Medicare claims as of December. Blue Cross & Blue Shield United of Wisconsin said it won the contract from the U.S. government to take over after Blue Cross of California stops and will hire the 400 workers currently employed to administer the claims.
CALIFORNIA | LOCAL
March 16, 2000 |
Last August, in an earlier column on differences over how much Blue Cross of California should pay hospitals for care of its 5.5 million members, I concluded, "These disputes are intensifying. Stay tuned." Matters have now reached an even more critical point.