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Pay for HMSA CEO Rises to 1.3 Million

Published on August 26, 2014 by in News

By Kristen Consilliohsa_logo

Honolulu Star

The Hawaii Medical Service Association boosted compensation for its chief executive Michael Gold by 19 percent to $1.3 million last year as the state’s top insurer prepared to roll out Obamacare.

Gold was one of four isle health insurance executives who received substantial raises as President Barack Obama’s Affordable Care Act overhauled the insurance industry with new benefit requirements and expanded coverage to an estimated 30 million Americans

 

 
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Anthem Blue Cross sued again over narrow-network health plans

Published on August 21, 2014 by in News

los-angeles-times-logo-reverseBy: Chad Terhune

LA Times

August 19, 2014

Health insurance giant Anthem Blue Cross faces another lawsuit over switching consumers to narrow-network health plans — with limited selections of doctors — during the rollout of Obamacare.

These types of complaints have already sparked an ongoing investigation by California regulators and other lawsuits seeking class-action status against Anthem and rival Blue Shield of California.

A group of 33 Anthem customers filed suit Tuesday in Los Angeles County Superior Court against the health insurer, which is a unit of WellPoint Inc. Anthem is California’s largest for-profit health insurer and had the biggest enrollment this year in individual policies in the Covered California exchange.

In the latest suit, Anthem members accuse the company of misrepresenting the size of its physician networks and the insurance benefits provided in new plans offered under the Affordable Care Act.

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Top 10 Execs at Alabama’s Blue Cross Doubled Their Pay in Last Two Years

Published on August 15, 2014 by in News

al_com_logo

By Mike Oliver | moliver@al.com AL.com

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The top 10 executives at Blue Cross and Blue Shield of Alabama made more than $1 million each in 2013 and collectively have doubled their pay since 2011.

These raises come amid sweeping health insurance reforms dubbed Obamacare, that have left many frustrated by premium increases.

The million-dollar club is headed by president and CEO Terry D. Kellog whose total annual compensation was $4.84 million.

That includes a salary of $999,959, bonuses totaling $3,580,651 and other compensation of $257,227.

His total compensation in 2013 is a 95.5 percent raise since 2011 when his total compensation was $2.47 million.

On average, the top 10 executives, as listed on a report filed with the Alabama Department of Insurance, increased their total compensation 103 percent from 2011 to 2013.

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Blue Cross Coverage at Anniston Hospital Could End in September

Published on August 7, 2014 by in News
By: Patrick McCreless
July 31, 2014annistonstar
Anniston Star
 
 

A fight over money between Regional Medical Center and Blue Cross and Blue Shield of Alabama could leave the insurer’s customers without coverage at the Anniston-based hospital network in September.

RMC officials say Blue Cross should pay more for the hospital’s services to match what the insurer pays other area hospitals — allowing it to stay competitive. Meanwhile, Blue Cross says it won’t increase its reimbursements to RMC, arguing that to do so would raise customers’ premiums too much.

In a Thursday press release, Blue Cross stated that RMC is terminating its contract with the company, effective Sept. 12. As a result, most services offered at RMC will not be covered by Blue Cross insurance after that date, the press release states. Blue Cross will still be required to cover any emergency treatments performed in RMC’s emergency rooms.

After Sept. 12, the nonprofit RMC will become the only hospital in Alabama not included in Blue Cross’ statewide network, the press release states. Blue Cross has been informing its customers and the medical community about the situation in recent days and pointing them to other hospitals to use instead of RMC.

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Blue Cross Association Trumpets $500 Million in ‘Savings’ But One Blue Still Needs 19% Rate Increase

Published on July 29, 2014 by in News
Forbes-Logo-By: Dan Munro
Forbes.com 
7/20/2014

 

 

The headline may sound fictional  but it really isn’t. It’s actually a compilation of two articles that appeared just one week apart earlier this month.

The first was a press release from the Blue Cross Blue Shield Association (BCBSA) — the parent organization of the 37 independent Blue Cross Blue Shield companies around the country.

Initial reports from the survey [of BCBS companies] show savings of $500 million in 2012. BCBSA Press Release  July 9, 2014

The second article appeared earlier this week based on state filings by BlueCross BlueShield of Tennessee (BCBST).

BlueCross BlueShield of Tennessee — the state’s dominant health insurance provider — is asking to raise rates by an average of 19 percent for its exchange plans in 2015, according to documents filed with the state of Tennessee. The Tennessean  July 16, 2014

In effect, the move to “value-based” care has resulted in $500 million in “savings” across the 37 independent BCBSA companies, but at least one of the 37  BlueCross BlueShield of Tennessee  still needs a rate increase of 19% for 2015 to stop hemorrhaging millions per month.

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Alabama Could Feel ‘Significant impact from BCBS Lawsuit

Published on July 23, 2014 by in News
By: Alan Alexander
Reporter
Birmingham Business Journalbirmingham business journal
 
When U.S. District Court Judge David Proctor denied a motion filed by Blue Cross and Blue Shield to dismiss the antitrust lawsuit filed against the insurance giant last month, legal experts were quick to weigh in on the massive case.Kentucky attorney Robert Craig of Taft, Stettinius and Hollister LLP penned one such analysis on lexology.com and wrote that “the results of this challenge to the structure of the Blues could have an enormous impact on competition in the health care industry.”To Read More

 
 
 
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Blue Cross Conspiracy Lawsuit Could Have ‘enormous impact on competition’ in health care legal article asserts

Published on July 8, 2014 by in News

By Mike Oliver | moliver@al.com 
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on July 07, 2014 at 10:06 AM, updated July 07, 2014 at 10:14 AM

al_com_logo

 BIRMINGHAM, Alabama — A federal  judge’s ruling June 18 that an antitrust  lawsuit filed in federal court here can continue has inspired several legal write-ups highlighting the significance of the case.

“The results of this challenge to the structure of the Blues could have an enormous impact on competition in the health care industry,” states a legal analysis by  Robert Craig for Taft Stettinius & Hollister.

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Michigan Health Insurers Propose Higher 2015 Rates

Published on June 30, 2014 by in News

mliveBy The Associated Press
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on June 27, 2014 at 8:00 AM, updated June 27, 2014 at 4:05 PM

LANSING, MI — Most people buying their own health insurance in Michigan could see near double-digit premium increases next year.

State insurance regulators said Wednesday that dominant insurers Blue Care Network and Blue Cross Blue Shield want to raise rates by an average of 9.3 percent or 9.7 percent in 2015.

The rate hikes are subject to change pending state review by Aug. 8, after which the federal government in the fall likely will approve whatever Michigan regulators decide.

Blue Care and Blue Cross sell policies to about three-quarters of nearly 246,000 Michigan affected residents who purchase their own insurance — either through a new website created under the federal health care law or off the “exchange.”

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Blue Cross Conspiracy Lawsuit Will Proceed, Judge Rules

Published on June 20, 2014 by in News

al_com_logoBy: Mike Oliver
Al.com
June 19, 2014

BIRMINGHAM, Alabama — A lawsuit alleging Blue Cross companies of conspiring in Alabama and across the country to illegally stifle competition will continue after a judge’s ruling filed Wednesday.

U.S. District Judge David Proctor in Birmingham denied motions by Blue Cross/Blue Shield plans, which are independent companies across the United States, to have antitrust case thrown out.

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Judge David Proctor Issues Order in MDL 2406: In Re: Blue Cross and Blue Shield Antitrust Litigation

Published on June 19, 2014 by in News
June 18, 2014
Birmingham, AL 

Judge David Proctor issued today an Opinion and Order in MDL 2406: In Re: Blue Cross and Blue Shield Antitrust Litigation.    The Opinion and Order address the Defendant Blue Cross and Blue Shield Plans and Association Motions to Dismiss and denies those Motions as detailed and addressed in his Opinion.  The litigation will continue as directed by the Court.

To Read the Order Please Click the Link Below.

Memorandum Opinon

 
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© Whatley Kallas BluesAntiTrustLitigation