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. July 9, 2014 ACOs, News ACOs, Anthem Blue Cross, Brown & Toland, Accountable Care Organizations 0 0 Comment Read More »
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. July 7, 2014 Medicare, News, Payment, Practice Management 2015 Medicare Fee Schedule, PFS, Sunshine Act, chronic care management services, Physician Fee Schedule 0 0 Comment Read More »
SCOTUS' Contraception Ruling Will Have Little Effect on California California health insurance officials predict that most women in the state will not be affected by the U.S. Supreme Court's recent ruling on the Affordable Care Act's contraceptive coverage mandate. July 1, 2014 News, Politics and Medicine contraceptive coverage, Hobby Lobby, SCOTUS 0 0 Comment Read More »
MICRA Lawsuit Measure Assigned Proposition Number The unprecedentedly broad and diverse coalition working to defeat the trial lawyers’ MICRA lawsuit measure is now officially the “No On 46” campaign, following the assignment of proposition numbers to qualified ballot measures by the Secretary of State’s Office on Monday. July 1, 2014 Advocacy, MICRA, News, Politics and Medicine Prop 46, Proposition 46, MICRA 0 0 Comment Read More »
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. June 25, 2014 Covered California, News Anthem Blue Cross, Blue Shield of California, Covered California, network adequancy, provider directories, DMHC 0 0 Comment Read More »