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Department of Managed Health Care

News Release
10/15/2015
Posted by Carmen Balber
Santa Monica, CA – For the sixth time this year, California insurance regulators have found an Aetna rate hike to be unreasonable. Such health insurance price-gouging will continue until state regulators have the power to reject unjustified health insurance price spikes, Consumer Watchdog said today. California Department of Insurance...
News Story
10/8/2015
Posted by Mark Reback
Beleaguered insurer Blue Shield of California won state approval for its $1.2-billion acquisition of a Medicaid health plan, but the nonprofit company’s deal with regulators drew heavy criticism. The California Department of Managed Health Care said it extracted several key concessions from Blue Shield in an agreement unveiled Thursday....
News Story
7/10/2014
Posted by Mark Reback
Click here to listen to the audio of this radio news broadcast. A consumer group said Wednesday it has filed a class action lawsuit that accuses a top California health insurer of fraud and unfair business practices allegedly intended to lure customers into buying its health insurance plans.  The lawsuit, filed Tuesday in Los Angeles County...
News Story
7/10/2014
Posted by Mark Reback
Anthem Blue Cross is now facing multiple lawsuits over the narrow physician networks it used in plans on California's ObamaCare exchange, according to a report. A new lawsuit filed Tuesday in state court alleges that the insurance giant misled consumers into buying plans with narrow networks when they believed they were receiving more...
News Story
7/10/2014
Posted by Mark Reback
Anthem Blue Cross misrepresented the size of its physician and hospital networks in an effort to bolster sales during the Affordable Care Act enrollment period, according to a lawsuit announced on Wednesday. The suit, filed Tuesday in Los Angeles Superior Court by Santa Monica-based Consumer Watchdog, contends the insurer also concealed the fact...
News Story
7/9/2014
Posted by Mark Reback
Wellpoint Inc. subsidiary Anthem Blue Cross Life & Health Insurance Co. was slapped with a proposed false advertising class action in California court on Tuesday alleging the insurer misled consumers regarding details of individual health plans offered under the Affordable Care Act. The insurer falsely represented that certain doctors and...
News Story
7/9/2014
Posted by Mark Reback
On Tuesday, Consumer Watchdog filed a class-action lawsuit alleging that Anthem Blue Cross misled "millions" of consumers who enrolled in its health plans about which physicians and hospitals were included in their provider networks, Kaiser Health News reports. Details of Lawsuit Consumer Watchdog filed the lawsuit on the behalf of...
News Story
7/9/2014
Posted by Mark Reback
Amid growing scrutiny statewide, insurance giant Anthem Blue Cross faces another consumer lawsuit over its use of narrow networks in Obamacare coverage. Six Anthem policyholders sued California's largest for-profit health insurer Tuesday in state court, accusing the company of misrepresenting the size of its physician networks and the...
News Story
4/25/2014
Posted by Mark Reback
Costly 'applied behavioral analysis' must be provided by insurers, panel says In a case that's drawn the attention of medical professionals in California, a state appellate panel this week expanded insurance coverage for a major autism treatment. In partly affirming and partly reversing a trial judge, justices with Division 3 of the...
News Story
4/23/2014
Posted by Mark Reback
Law360, Los Angeles (April 23, 2014, 9:42 PM ET) -- A California appeals court on Wednesday again held that the Department of Managed Health Care is required by law to direct health plans to provide coverage for autism treatment performed by certified therapists, even if they don’t have medical or psychology licenses. The appellate ruling...