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This medical maverick, (or thats what the papers calling him) owns three hospitals in The OC (California) and has cancelled all his HMO contactsgoing after Medicare patients and charging HMOs and PPOs full fare for those admitted via the ER... [ABSTRACT FROM PUBLISHER]

Lisa Girion in the LA Times has had no small part in the story she reports today. Wellpoints Blue Cross unit is settling the patients' lawsuits against its rather nasty habit of widespreadretroactive cancellations. The settlement cannot have been that... [ABSTRACT FROM PUBLISHER]

It is getting pretty difficult to find something nice to say about the nation's two largest health plans. Wellpoint's Blue Cross of California unit, already fined by the fairly tame CA Dept. of Managed Healthcare, is now being sued by... [ABSTRACT FROM PUBLISHER]

Eric Novack has something to say about HDHP/HSAs, even more to say about who's getting rich as a result, and little to mention about self-selection. But then I'm just a cynic. A simply fascinating report has come from Aetna recently.... [ABSTRACT FROM PUBLISHER]

John Caroll (a fellow "Fierce" editor, not that I'm one any more) gives private Medicare plans a rather soft ride and shows that appparently it's all looking good for Managed Medicare! The trajectory for managed care is very good, says... [ABSTRACT FROM PUBLISHER]

Nothing that you havent already seen on THCB many time before, but in taking on (and slightly misrepresenting but not much!) the Mass concept that we should just tell all the uninsured to buy into the individual market, veteran commentator... [ABSTRACT FROM PUBLISHER]

With an election in less than 2 months, the state is finally wading into the Wellpoint BC cancellation mess. Blue Cross now faces a fine: In the first sanction of its kind, California's top HMO regulator fined Blue Cross on... [ABSTRACT FROM PUBLISHER]

Yesterday I ran a panel at Teradatas partner conference in MickeyMouseville, FL. On the panel were Liz Dudek from Medstat, Jill Burrington-Brown from AHIMA and David Cochran from Harvard Pilgrim health plan. Pretty interesting conversation. David is particularly fun and... [ABSTRACT FROM PUBLISHER]

I couldnt write about this yesterday because I spent the day hanging out in airports, but plenty of people emailed me about Barbara Martinez of the WSJ and her continued journey into the seemy side of employer benefits. As Ive... [ABSTRACT FROM PUBLISHER]

Given that Blue Cross of California Unveils Major Initiative to Revise Rescission Policies and Procedures: in order to stop its retroactive cancellations, and that in its very own press release it quotes : William Shernoff, an attorney representing some customers... [ABSTRACT FROM PUBLISHER]

This article, Sick but Insured? Think Again by Lisa Girion at the Los Angeles Times is why shes been slow to respond to my email about the AHIP quote from last week. No matter. Its the same meme about California... [ABSTRACT FROM PUBLISHER]