07/09/2019
Featured
07/09/2019
Health Net Releases Q4 Update
Health Net released Q4 rates. However, rates quoted are pending regulatory approval. There are no new plans or termed plans, and there are no changes to their specialty lines of coverage. Below y...
07/08/2019
Anthem Blue Cross Terminates Agreement With San Benito Medical Associates
Anthem Blue Cross will not renew its CaliforniaCare Agreement with San Benito Medical Associates. As a result, San Benito Medical Associates will no longer be part of Anthem’s commercial HMO Network b...
07/08/2019
Anthem Blue Cross Provides Update On Verity, Allied HealthCare, and AllCare Medical Group
Anthem Blue Cross announced that Allied Healthcare Providers and Verity Medical Foundation will terminate on July 1, 2019. Impacted members will be transferred to alternate participating medical group...
07/08/2019
Anthem Blue Cross Renews Agreement With Adventist Health
Anthem Blue Cross reached a multi-year agreement with Adventist Health. The fully executed amendments include Medicare Advantage, professional, and ancillary agreements. The amendments are effective o...
07/08/2019
Anthem Blue Cross Removes Split Tier From Tier 1 Drugs
Effective Oct. 1, 2019, Anthem Blue Cross will change their Rx Tier 1a/1b (split tier) benefits on a majority of January 1, 2019 plans. This means that Tier 1 a/1b will combine to form Tier 1. This w...
07/03/2019
Physicians for Healthy Hospitals and KPC Hospitals System Network Contracts With Blue Shield Of California Have Terminated
After months of negotiations, Blue Shield of California and Physicians for Healthy Hospitals, (PHH)/KPC Hospitals System, have not reached mutual agreement on rates and terms for their hospital contra...
07/03/2019
New Standard for Aetna Premium Payments: An Ongoing ACH Debit
Starting August 1, 2019, Aetna’s ongoing ACH debit will be the standard method for premium payments (paper check is no longer accepted). Regularly scheduled payments will be based on the membership at...
07/03/2019
Sharp Health Plan Decreases HMO Rates for Q4 2019
Sharp Health Plan has released their Q4 rates with a decrease on all HMO plans. The Full Choice network will decrease by 4.5% while the limited HMO networks will decrease 5.9% compared to Q3 2019 rate...
07/02/2019
UnitedHealthcare Q4 2019 Update
UnitedHealthcare has released rates for Q4 2019. There are no changes to plan benefits, packages, or networks. The statewide average increase is 1% for HMOs and 1.5% for PPOs. eServices Update Comi...
07/01/2019
Oscar Broker Bonus: Up to $75 Per Enrolled Employee Through CaliforniaChoice®
Oscar is offering a broker bonus for new membership. The more Oscar members who are enrolled through CaliforniaChoice®, the greater your bonus! This includes new and active CaliforniaChoice® members w...
06/25/2019
Final Rule Allows HRAs to Subsidize Individual Plans
by Ken Doyle If you serve employee groups of under 20, you’ll want to watch a new HRA final rule that goes into effect in January 2020. Companies will be able to use HRAs to subsidize workers to bu...
06/25/2019
Trump Signs Executive Order on Healthcare Price Transparency
President Trump signed an executive order directing federal agencies to increase healthcare price and quality transparency. The order directs the Departments of Labor, Treasury, and Health and Human S...
06/21/2019
Leverage the LISI Master Carrier Guide (MCG)
Looking for a comprehensive resource that will enable you to get quick answers on common carrier guideline questions? The LISI Master Carrier Guide (MCG is online, mobile-friendly, and designed ...
06/18/2019
Choice Builder® Announces Significant Rate Decrease for Their Delta Dental Plans
Choice Builder® has some great news to share. Effective July 1, 2019, rates on all their Delta Dental PPOs will have a significant decrease. The decreases are as follows: Platinum -2.7% Gold -...
06/14/2019
The New LISI Website
If you were unable to join one of our recent webinars providing an overview of all the new features and resources on our website, please feel free to watch this recorded session for...
06/13/2019
Anthem Blue Cross Offers Broker Bonus for ACE Agents
Anthem Blue Cross is offering a 7% commission when you sell any new small group medical case with 10+ enrolled employees for a July 1, 2019 to January 15, 2020 effective date. This is in addition to a...
06/12/2019
HHS Clarifies HIPAA Requirements for Business Associates
As a broker, you’re not likely to be considered a covered entity under HIPAA. But, if you have access to private health information, you may still have HIPAA responsibilities as a business associate. ...
06/12/2019
WHA to End Contract With Canopy Health
Canopy Health and Western Health Advantage have mutually agreed not to renew their provider service agreement effective January 1, 2020, ending a two-year partnership in the Bay Area. This means that ...
06/12/2019
What’s New with Anthem in Small Group? New Network. New Plans
Anthem Blue Cross is bringing back a new and improved limited HMO network, Priority Select, in regions 15 through 19. This network was built with the following criteria in mind: medical groups demonst...
06/11/2019
