May 2, 1998 |
Following through on a promise he made in January, Gov. Pete Wilson announced plans Friday to create a new state Department of Managed Health Care and abolish the Department of Corporations, which currently oversees managed care businesses.
July 17, 2007 |
State regulators Monday postponed a hearing originally set for this week on complaints against Blue Cross of California, because its parent company has requested a more detailed agenda. The hearing now is set for Aug. 7 in Los Angeles. The state Department of Managed Health Care, which oversees HMOs, said last week that it had received more than 1,600 complaints from policyholders and doctors in less than three years against Blue Cross, the state's largest health insurer.
May 26, 2007 |
State regulators are investigating whether a $950-million dividend Blue Cross of California sent to its Indianapolis-based parent violates an agreement the companies made to limit such payments to keep premiums down and maintain the quality of healthcare benefits, officials said Friday. Officials said the parent, healthcare giant WellPoint Inc., should have taken no more than $141 million out of California.
December 30, 2007 |
At 13, David Denney's body functions like that of a baby. Severe brain damage halted his motor development at 4 months. Unable to walk, sit up, speak or even eat by mouth, David is cared for by a licensed vocational nurse who feeds him formula through a stomach tube, watching closely in case he retches. Blue Cross of California, the family's health plan, paid for the nurse for most of David's life at a cost of about $1,200 a week.
August 2, 2008 |
California Gov. Arnold Schwarzenegger vetoed a doctor-backed bill that would have given regulators new power to fine insurers for not paying medical bills. The bill's author, Assemblyman Jared Huffman (D-San Rafael), said the measure was needed to put "teeth into our state's healthcare watchdog." But the governor called the bill an attempt to get around an independent dispute resolution process created by the California Department of Managed Health Care.
April 5, 2012 |
Our 7-year-old daughter awoke screaming and could not be comforted or touched. We took her to the emergency room. Now our insurance company is denying the visit, saying that it wasn't medically necessary for her to be seen in the ER. Yet the emergency room physician considered a spinal tap to rule out meningitis. How could this visit not be necessary? The situation you describe certainly seems to qualify as an emergency, and you should fight to have your insurer pay for your daughter's ER visit.