Blue Cross Blue Shield Needs Oversight
United is awful too
It’s true, millions of low-income seniors enroll in the so-called “Medicare Advantage” program—and are hit hard with surprise out-of-pocket costs, narrow provider networks, and flat-out denials of care.
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Bon Secours Mercy Health is suing Anthem Blue Cross Blue Shield of Virginia for $93 million, alleging unpaid claims. BSMH is seeking higher reimbursement rates from Anthem.
No anesthesia coverage for you, but multi million dollar bonuses for their executives.
This is what happens when we are forced to buy health insurance but insurance companies aren’t forced to pay for our healthcare. Until this changes, things will get unbearably worse.
This is one way they hoarde money from patients and the people actually caring for them.
"Blue Cross Blue Shield of MA pauses controversial policy limiting coverage for monitored anesthesia during certain medical procedures, citing confusion and com
This should make you angry. Billions in profits in one quarter, money that should have been spent on healthcare but went to insurance companies profits instead.
Evil! It’s AI denials with a 90% error rate! Only .2% of these get appealed because most billing people auto post it and don’t even notice or don’t care because it’s not thier money. It’s pure evil.
Hospitals across the U.S. are facing increasing financial strain due to rising denials from Medicare Advantage and commercial claims. AHA and Syntellis research
Disgusting!
BCBS companies reported a collective $7.5 billion in net income in the first half of 2023, according to a Fitch Ratings report. 32 of the 33 affiliated BCBS
Lawsuit alleges Blue Cross Blue Shield Association allowed third-party tech companies to access sensitive medical information of federal employees. Five former
https://www.propublica.org/article/health-insurance-denials-breaking-state-laws
States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from emergency services to fertility preservation, insurers still say no.
They need to be sued again under RICO:
The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.
Find out why your insurnace company denied your claim, then complain to the state Dept of Insurance. When they make things difficult for you, fight back ten times harder. Only patients can complain to the state DOI. Providers have no voice.
You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file from your health insurance company.
Disgusting behavior by insurnace companies. There was even a law that they ignored. They think they’re above the law because state oversight is nonexistent.
If you are a patient, and your insurance company denies payment, file a complaint. Only you can file the complaint, and they know most people aren’t going to do it.
A Michigan law requires coverage of cancer drugs. One insurer came up with a “defensible” way to avoid paying for treatments that offered Forrest VanPatten his last chance for survival. “We crossed the line,” says a former executive.
BCBS’s behavior is exactly why this bill was passed.
Today, the Biden-Harris Administration (the Administration), through the Departments of Health and Human Services (HHS), Labor, and the Treasury (the Departments), along with the Office of Personnel Management (OPM), released a proposed rule on the No Surprises Act’s Federal independent dispute re...
Insurance companies!
The Pennsylvania Insurance Department found that Pittsburgh insurer Highmark Inc. violated rules regarding the payment of claims, as well as rules related to mental health and substance use disorder claims.
The department, which announced the findings this week, was part of a routine examination of all insurers in the commonwealth. It also recently announced fines for Geisinger Health in Danville and Capital Blue Cross in Harrisburg.
The Pennsylvania Insurance Department found that Pittsburgh insurer Highmark Inc. violated rules regarding the payment of claims, as well as rules related to mental health and substance use disorder claims. The department, which announced the findings this week, was part of a routine examination of....
Insurance Commissioner Jon Godfread today issued a Consent Order finalizing a yearlong market conduct examination of Blue Cross Blue Shield of North Dakota (BCBSND).
Illinois Department of Insurance has fined Health Care Service Corp., parent of Blue Cross Blue Shield of Illinois, $1.2 million for violating the state's Netwo
CMS fines BCBS of Rhode Island. Here is the notice:
Fined again…they think they’re above the law.
These fines are a joke to BCBS, they just pass the cost onto you. They also pay more money than the fines to their CEO’s as bonuses.
In what may be a cautionary tale for other insurers, Blue Cross Blue Shield of Alabama has been hit with an $8 million fine for charging rates that differed from those approved by state regulators. | In what may be a cautionary tale for other insurers, Blue Cross Blue Shield of Alabama has been hit....
SPRINGFIELD, Ill. (WCIA) — The Illinois Department of Insurance announced Thursday they have fined Blue Cross Blue Shield of Illinois over half a million dollars. The insurance company paid a…
The state of Georgia has fined Blue Cross Blue Shield, also known as Anthem, $5 million for a repeated, years-long pattern of violations of policyholder’s rights, the largest fine ever levied by the Office of Insurance and Safety Fire Commissioner.
Blue Cross Blue Shield Fined Millions For Denying & Deceiving Patients about Legitimate Emergency Care.
Blue Cross Blue Shield of Texas Fined Millions For Denying & Deceiving Patients about Legitimate Emergency Care. by Kevin Herrington We’ve all been there. You pick-up your mail and see that there’s a statement from your health insurance company. Instantly, you feel a sense of dread. You had an e...
Alabama
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