The $300,000 fine stems from Blue Shield incorrectly processing 36 claims for a member's approved therapy services.

As House Republicans consider making deep cuts to Medicaid, Santa Clara County wants to transition to a “single plan” model ...

A federal judge in the nation’s capital ruled the US Department of Health and Human Services acted lawfully by not utilizing a 2019 rule to adjust a Medicare managed care plan’s 2025 “star rating” ...

Blue Shield of California has been named as a 2025 US Best Managed Company for the sixth consecutive year and as a Gold ...

In 2023, the Blue Shield of California announced that it was dropping CVS Caremark as its pharmacy benefit manager (PBM) and ...

Miruna Sasu is the president and CEO of COTA Healthcare. Its platform pulls data from electronic medical records, cleans and adjudicates the clinical notes, then returns them to health care ...

Investopedia found that Anthem BCBS offers the best health insurance for unemployed people because of its low premiums. Other ...

Following the implementation of the new rules, Blue Cross & Blue Shield ... requirements for primary care physicians for commercial and Medicare managed plans. The insurer explained it took ...

The report, released Monday, found that over the past five years, the state's Managed Care Incentive ... which include Blue Cross, Humana and United Healthcare, have had little to do with the ...

Current managed care contracts will be extended through ... to cover two months of state-paid health-care coverage by Blue Cross & Blue Shield and Neighborhood Health for about 2,000 people ...

The providers, known as Managed Care Entities (MCE) are health insurance companies or organizations offering health plans. These groups include providers such as Anthem Blue Cross Blue Shield ...

Proposition 35 would spell out how the tax on health insurance providers like Anthem Blue Cross and L.A. Care, known as managed care organizations, can be used. Sept. 18, 2024 Backers of the ...