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...
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...
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...
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...
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...
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...
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...
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...
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 -...
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 ...
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...
Wellvolution has been redesigned for 2019 to give your clients the tools for obtaining optimal health, whether that means staying fit, preventing disease, or treating existing conditions.
Key facts...