The California Department of Managed Health Care (DMHC) has taken enforcement actions including a $322,500 fine against California Physicians’ Service (Blue Shield of California) and a $135,000 fine against Care 1st Health Plan for failing to identify, timely process, and resolve consumer grievances. The plans have also failed to fully and timely provide information to the Department during the investigation of these consumer complaints.
California agency approves Aetna’s purchase of Humana
California Department of Managed Health Care (DMHC) Director Shelley Rouillard has approved Aetna’s acquisition of Humana.
Centene approved to acquire Health Net
California Department of Managed Health Care (DMHC) Director Shelley Rouillard approved Centene’s acquisition of Health Net.
New California consumer health insurance complaint center
The California Department of Insurance (CDI) announced today that several portals are now available to assist consumers, insurers* and health care providers in communicating and interacting with the department through the complaint process.
Public Meeting on the Acquisition of Cigna by Anthem Blue Cross
The Department of Managed Health Care (DMHC) invites you to a public meeting on the acquisition of Cigna by Anthem Blue Cross. Representatives from both plans will be present. The meeting will be held in Sacramento on March 4, 2016 from 1:30 p.m. to 3:30 p.m. The purpose of the meeting is to discuss DMHC’s jurisdiction and authority to oversee the transaction and to solicit public comment for DMHC’s consideration as it reviews the transaction. Public comment will be limited to 3 minutes. Comments may also be submitted to [email protected] until 5:00 p.m. on March 11, 2016.
Legislation to stop surprise medical bills from out of network providers
Have you been hit with a surprise medical bill? Did you follow your insurance company’s rules by picking a hospital, lab, or outpatient facility that is in your plan’s network to keep costs low? But then did you end up getting a huge surprise medical bill from specialists, labs, or others who are not in your plan’s network—providers you didn’t choose, may have never met, and had no control over?
Aetna purchase of Humana set for public meeting discussion
The Department of Managed Health Care (DMHC) invites you to a public meeting on the acquisition of Humana by Aetna. Representatives from both plans will be present. The meeting will be held in Sacramento on January 4, 2016 from 1:30 p.m. to 3:30 p.m. The purpose of the meeting is to discuss DMHC’s jurisdiction and authority to oversee the transaction and to solicit public comment for DMHC’s consideration as it reviews the transaction. Public comments will be limited to 3 minutes. Comments may also be submitted in writing to [email protected] until 5 p.m. on Monday, January 11, 2016.
Public meeting on acquisition of Health Net by Centene
The Department of Managed Health Care (DMHC) invites you to a public meeting on the acquisition of Health Net of California by Centene.
Blue Cross, Blue Shield fined over bad doctor directories
The California Department of Managed Health Care (DMHC) announced today that it issued a $350,000 fine against Blue Shield of California (Blue Shield) and a $250,000 fine against Anthem Blue Cross (Anthem) for inaccurate provider directories.