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Blue Cross Of California

BUSINESS
November 5, 2003 | From Bloomberg News
Tenet Healthcare Corp., the biggest hospital operator in California, said the state's top insurer would stop covering care at a company medical facility in Modesto amid allegations it performed unnecessary heart procedures. WellPoint Health Networks Inc.'s Blue Cross of California, which has about 6.8 million members, will end its contract with Doctors Medical Center of Modesto on Nov.
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BUSINESS
September 24, 2003 | Ronald D. White, Times Staff Writer
Blue Cross of California and Kaiser Permanente will drop Medicare Plus Choice plan coverage for more than 7,500 people in Ventura and Santa Clara counties next year in what the companies described as regrettable but unavoidable decisions. The change will affect 2,937 Blue Cross members and 3,500 Kaiser members in Ventura County, according to the federal Centers for Medicare and Medicaid Services.
BUSINESS
October 27, 2002 | From Times Staff
Blue Cross of California reached a partial agreement with hospital operator HCA Inc. in a contract dispute that has been disrupting care for patients in several California communities. For weeks, the health-care giants had been at loggerheads over how much Blue Cross will reimburse HCA for services at its six California hospitals. Contracts expired Oct. 1, leaving tens of thousands of Blue Cross members without coverage for most services at the hospitals, except for emergencies.
BUSINESS
October 23, 2002 | Don Lee, Times Staff Writer
Blue Cross of California said late Tuesday that it reached a partial agreement with hospital operator HCA Inc. in a lingering contract dispute that has been disrupting care for patients in several California communities. For weeks the health-care giants had been at loggerheads over how much Blue Cross will reimburse HCA for services at its six California hospitals. Contracts expired Oct.
BUSINESS
October 10, 2002 | DON LEE, TIMES STAFF WRITER
Blue Cross of California, one of the nation's largest health insurers, this fall will begin keeping a quality scorecard on thousands of physicians and pay bonuses to those who meet high standards of care. The incentive program, to be announced today, is part of a growing movement nationally to hold health providers more accountable for the quality as well as the cost of care. In recent years, almost all of the quality focus has been on HMOs.
CALIFORNIA | LOCAL
July 30, 2002 | From a Times Staff Writer
Blue Cross of California and its parent company, Wellpoint Health Networks Inc., have agreed to pay $9.25 million to resolve a whistle-blower lawsuit accusing Blue Cross of defrauding the Medicare system, the U.S.Justice Department said Monday. The alleged abuses occurred during the 1990s while Blue Cross was operating under contract with the federal government to process and audit Medicare claims in the state.
BUSINESS
May 23, 2002 | DON LEE, TIMES STAFF WRITER
Under pressure from hospitals, Blue Cross of California has backed off selling "tiered hospital" policies, which group hospitals by cost and increase co-payments for consumers who use the costlier facilities. Senior executives at Blue Cross, the state's largest health insurer, said the company changed course after encountering vigorous opposition from hospitals.
BUSINESS
March 9, 2002 | DENISE GELLENE and RONALD D. WHITE, TIMES STAFF WRITERS
The multibillion-dollar business of prescription allergy drugs took a sharp turn Friday as WellPoint Health Networks Inc. said it plans to steer allergy patients from prescription medications to over-the-counter versions of Claritin. The announcement came as Schering-Plough Corp. disclosed plans to market Claritin as a nonprescription drug when its patent expires in December.
NEWS
July 10, 2001 | DENISE GELLENE, TIMES STAFF WRITER
Blue Cross of California, in a radical departure from industry practice, is scrapping an incentive program in its HMO that rewards doctors for controlling medical costs. The insurer instead will link bonus payments directly to patient satisfaction--a stunning indication that the industry's oft-criticized focus on cost containment no longer works. Blue Cross, a unit of WellPoint Health Networks Inc. of Thousand Oaks, will announce the changes today.
BUSINESS
February 21, 2001 | A Times Staff Writer
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.
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