Be Prepared for Covered California Changes in 2017 It is critical that physician practices understand their participation status, which products are being offered and what changes to expect in 2017. January 5, 2017 CMA, Covered California, Physician Resource California Medical Association, CMA, Covered California, health benefit exchange 0 0 Comment Read More »
Seamless Conversion to Medicare Advantage Some questions have been raised about recent press coverage on plans enrolling new Medicare beneficiaries in Medicare Advantage without the beneficiary’s knowledge. The American Medical Association (AMA) raised concerns and a number of questions with senior officials at the Centers for Medicare and Medicaid Services (CMS). Included in this blog posting are CMS’ answers. August 23, 2016 AMA, Covered California, Managed Care, Medi Cal, Medicaid, Medicare AMA, CMS, Dual-Eligibles, Medicare, Medicare Advantage 0 0 Comment Read More »
Covered California Update: Patient Eligibility and the 90-Day Grace Period Covered California plans can suspend coverage and pend or deny claims for patients in the 2nd and 3rd month of the grace period. California physicians are urged to verify eligibility on all Covered California patients, ideally on the date of service, or as near the time of service as possible. February 2, 2016 Covered California, Practice Management Affordable Care Act, grace period, Covered California 0 0 Comment Read More »
Covered California: What San Francisco Physicians Should Know for 2016 SFMS has compiled the following guidelines to assist physician members with Covered California in 2016. November 13, 2015 Covered California, Physician Resource Covered California, health benefit exchange 0 0 Comment Read More »
Covered California Health Plan Network Directory Accuracy The California Department of Managed Health Care released the results of an audit of the Anthem Blue Cross and Blue Shield Covered California networks that found many inaccuracies with physician provider information. August 12, 2015 Covered California Anthem Blue Cross, Blue Shield, Covered California, DMHC, managed care, provider network 0 0 Comment Read More »
