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San Francisco Marin Medical Society Blog

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Anthem, Sutter, UCSF and Brown & Toland Form Bay Area ACOs Focusing on Chronic Care

Anthem Blue Cross announced three major Bay Area health care providers, UCSF Medical Group, Brown & Toland Physicians and several medical foundations linked to Sutter Health have agreed to join regional Anthem ACOs that focuses on patients with two or more chronic conditions.

2015 Medicare Fee Schedule Includes Chronic Care Billing Code, Sunshine Act Changes

Beginning in 2015, primary care physicians and others could begin billing separately for chronic care management services if the Physician Fee Schedule proposed by the Centers for Medicare and Medicaid Services is adopted.

DMHC Investigating Anthem and Blue Shield Provider Networks

The Department of Managed Health Care (DMHC) recently began conducting a “non-routine audit” of Anthem Blue Cross and Blue Shield of California to investigate the accuracy of the plans' provider directories and identify whether either plan violated any network adequacy laws.

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