Department of Managed Healthcare Fines Two Health Plans $8.5 Million for Failure to Timely Respond to Health Providers’ Payment Disputes

 By Zoe Bulls In an enforcement action against two health plans, the California Department of Managed Healthcare (DMHC) fined Blue Cross of California Partnership Plan, Inc. and Blue Cross of California (Anthem Blue Cross) a combined $8.5 million for violating Continue reading

Department of Managed Health Care Issues Enforcement Action Against Blue Cross of California

By Meena Kaypour On February 26, 2021, the Office of Enforcement within the Department of Managed Health Care (DMHC) concluded its investigation of Blue Cross of California concerning the Plan’s violations of the Knox-Keene Health Care Service Plan Act of Continue reading

Department of Managed Health Care Fines Health Plans $1.9 Million for Failing to Provide Care to California Enrollees

By Rayne Brown On December 18, 2019, the Department of Managed Health Care (DMHC) announced an enforcement action against 12 health plans, imposing fines totaling $1.9 million for their failure to properly oversee a contracted medical group that was improperly Continue reading