Insurance Updates

Index of Articles

 Summary of CPPA Meeting February 2017 (9/22/2017) 
   Summary of the Department of Managed Health Care's Consumer Provider Plan Agency (CPPA) Meeting, February 27, 2017
 DHCS Fines Kaiser for Failure to Provide Data (4/10/2017) 
   California officials have fined health care giant Kaiser Permanente $2.5 million for failing to turn over required data.
 Managed Health Care CPPA Meeting Notes (2/28/2017) 
   Notes from the Department of Managed Health Care's Consumer Provider Plan Agency (CPPA) Meeting on February 27, 2017.
 Anthem Cigna Health Insuerance Merger is Rejected by Federal Judge (2/2/2017) 
   Last year, CAMFT sent letters to the California Insurance Commissioner and the Department of Managed Health Care expressing our concerns about the potential merger of involving Anthem Blue Cross and Cigna Corporation.
 DMHC Releases Timely Access Report for 2015 (2/1/2017) 
   he Department of Managed Health Care just released the Timely Access Report for Measurement Year (MY) 2015, as part of the DMHC compliance with the Timely Access Regulation.
 Aetna's Merger with Humana Blocked by Fedewral Judge (2/1/2017) 
   In a decision released on January 23, 2017, a Federal judge temporarily blocked the proposed $37 billion merger between health insurance companies, Aetna and Humana.
 Department of Managed Health Care Releases Provider Directory Standards (1/2/2017) 
   On July 1, 2016, a new law took effect requiring insurance plans to ensure that their provider directories are accurate. The law, SB 137, included multiple components aimed at providing patients with more accurate and complete information.
 Addressing Parity Violations (12/1/2016) 
   A complimentary Parity Complaint Registry and Appeal Resource has been launched by the Kennedy Forum to help consumers, providers, advocates and others gather valuable information and access resources to prepare to register a complaint or an appeal w
 Anthem Correspondence to Providers Regarding Parity Benefit Adjustments (12/1/2016) 
   In accordance with the Mental Health Parity and Addiction Equity Act, the Department of Managed Health Care requirements, and California law, Anthem ???must revise certain mental health and substance use disorder benefits to comply with state and fed
 CAMFT Submits CPT Code Change Request to AMA (11/1/2016) 
   The CAMFT Insurance and Healthcare Reform Committee voted on submitting a CPT Code Change Application to the American Medical Association (AMA) to address procedures performed by providers that are currently unbillable to insurers.
 Federal Grant Awarded to the Department of Insurance (11/1/2016) 
   The Centers for Medicare and Medicaid Services at the U.S. Department of Health & Human Services announced in October that it awarded a $1.84 million grant to the California Department of Insurance.
 Health Plan Data is Now Available to the Public (10/3/2016) 
   Health Plan Data is Now Available to the Public
 Class Action against United Behavioral Health (10/3/2016) 
   The United States District Court for the Northern District of California has certified a nationwide Employee Retirement Income Security Act (???ERISA???) class action in a case pending against the country's largest managed behavioral health care orga
 Are You Getting Paid Interest for Late Payments Made by Insurance Companies (10/1/2016) 
   Are You Getting Interest For Late Payments Made by Insurance Companies?
 ICD 10 Coding Updates Effective October 1, 2016 (10/1/2016) 
   As of OIctober 1, 2016 new ICD-10 codes should be used for 14 mental health diagnoses. Read more.
 Communications from Anthem Blue Cross, EquiClaim and Inovolan Regarding Billing Practicers and Risk (9/1/2016) 
   In July, CAMFT sent a letter to Anthem Blue Cross on behalf of members who are contracted with the insurance company to provide behavioral health services. The purpose of CAMFT's communication was to discuss concerns regarding the letters that member
 Certified Community Behavioral Health Clinic Demonstration (8/1/2016) 
   DHCS plans to submit a CCBHC Demonstration Application to the Substance Abuse and Mental Health Services Administration (SAMHSA) by October 31, 2016.
 Help is Available for Providers (7/27/2016) 
   This article will give providers the information they need to assist consumers as well as themselves with pursuing complaints against health plans.
 US DOJ Move to Block Health Insurer Mergers (7/21/2016) 
   The US Department of Justice (DOJ) sued to block two separate mergers???Anthem Inc.???s $48 billion takeover of rival health insurer Cigna Corp. and Aetna Inc.???s $37 billion bid for Humana Inc., which would consolidate the top five insurers into th
 SB 137 Provider Directories (7/1/2016) 
   SB 137 established comprehensive requirements to ensure that health plans publish and maintain accurate, complete and up-to-date provider directories.
 Communications from Anthem Blue Cross (7/1/2016) 
   Communications from Anthem Blue Cross, EquiClaim and Inovolan.
 DMHC Approves Aetna's Acquisition of Humana (6/20/2016) 
   Director Shelly Rouillard of the California Department of Managed Health Care (DMHC) approves Aetna's acquisition of Humana.
 Insurance Commissioner Urges U.S. Justice Department to Block Anthem Cigna Merger (4/1/2016) 
   CAMFT writes a letter of concern to California Insurance Commissioner, Dave Jones voicing concerns regarding the proposed merger of Anthem and Cigna.
 Summary of Department of Managed Health Care's Consumer Provider Plan Agency Meeting (2/5/2016) 
   Summary by Sara Kashing, JD, CAMFT Staff Attorney. October 23, 2015
 Letters from Anthems Reimbursement (9/24/2015) 
   Letters from Anthem's Reimbursement Policy Management Team