Blue Shield launched its suit accusing me of disclosing confidential information and demanding a court-imposed gag order a little over a year ago.
Blue Shield is the only major California insurer whose profits and administrative expenses in 2015 exceeded Obamacare maximums, requiring it to pay rebates this fall.
The corporate chieftains at Blue Shield of California have a special surprise for workers this Labor Day—a furlough.
The information I dug up about Blue Shield and gave to regulators last month is now the basis of a class action lawsuit.
By reporting to regulators costs from administrative errors as medical spending, Blue Shield appears to have shortchanged customers on rebates required by the Obamacare medical loss ratio rule.
In response to heavy criticism from tax authorities and consumer groups last year over its conduct as a nonprofit, Blue Shield of California will hold what it is billing as its first “annual stakeholder meeting.”
California's health plan regulator has so far refused to explain her determination that Blue Shield has no charitable trust obligation. The ruling effectively privatizes Blue Shield, relieving it of any obligation to operate for community benefit and giving its directors license to sell the health plan to a for-profit company without having to set aside for community benefit any of the billions of dollars a sale would net.
My lawyer filed a motion yesterday for dismissal of Blue Shield’s lawsuit, arguing that it chills my 1st Amendment right to participate in public discussion about Blue Shield.
Blue Shield made a huge profit hindering access to care, which triggered a $107-million-excess-profit tax that it forced enrollees to pay. The nonprofit insurer should return the $223-per-enrollee that it took to pay the tax.
Of the 319 insurers offering Obamacare coverage in 2014, the most profitable was a nonprofit health plan, Blue Shield of California. The government has imposed a $107 million excess-profits assessment, which Blue Shied is forcing its enrollees to pay.
California’s health plan regulator ruled last month, as reported by the Los Angeles Times, that nonprofit insurer Blue Shield of California has no charitable trust obligation. The ruling means that Blue Shield is free to operate with no regard for the good of the community and if the health plan were ever acquired, the public would be entitled to none of the billions of dollars the sale would net.
As the LA Times reported today, Blue Shield is suing me. Since I haven't yet hired a lawyer, I probably shouldn't say too much about it now. But I do want to say this:
In this interview with the LA Times published today, Blue Shield of California CEO Paul Markovich couldn't contain his disdain for anyone who thinks the nonprofit has a duty to fully disclose how much its top executives are paid. Currently, Blue Shield discloses far less than even for-profit insurers do.
In a stunning decision delivered last week with no explanation, California’s Department of Managed Health Care agreed with Blue Shield that the nonprofit, which has enjoyed a tax exemption for over 70 years, has no duty to operate for the benefit of the community. Blue Shield can spend the billions of dollars in assets it holds without any regard for what's best for the community, according to the state health plan regulator.
Blue Shield’s plan for the combined corporate entity it would establish if its proposed acquisition of Care 1st Health Plan is approved would subordinate the interests of Care 1st’s mostly Medi-Cal enrollees to those of Blue Shield’s own enrollees, according to legal documents filed with regulators.
Blue Shield is proposing rates for Obamacare coverage next year that include the biggest provision for profit and administrative expense of any major California health plan, despite its nonprofit status and $4 billion reserve fund.
When the former defense secretary and CIA chief Leon Panetta joined the Blue Shield board of directors, he said it was because Blue Shield is nonprofit and serves the “welfare of the entire community.” Now Blue Shield has been stripped of its tax exemption, is embroiled in scandal over secret pay to executives, and its lawyers are claiming it has no duty at all to the community. If Panetta meant what he said, he needs to bring management into line. Read this blog post at healthinsurance.org.
Blue Shield of California, which made headlines yesterday with its lavish and secretive compensation of top executives, is accused in a class action lawsuit of systematically failing to pay its lowest-paid workers their full wages.
In 2013, while working for Blue Shield of California, I learned that Bruce Bodaken, who’d resigned the previous year as CEO, was paid $20 million when he left.
Blue Shield disclosed to the LA Times that it would have to pay $61.7 million in rebates because just 76.8% of premiums had gone to pay medical costs, short of the required 80%. In fact, Blue Shield spent only 72% of premiums on medical care.