Most insurers base enrollee cost sharing for brand name drugs on inflated amounts.
Delta Dental of California flouts its duties as a nonprofit, but that could soon end.
Attorney General Xavier Becerra tells the appeals court, “Any effort to challenge a whistleblower’s voluntary reports to state oversight agencies raises serious concerns…”
While working for Blue Shield, I saw Senator Ed Hernandez do favors for the company, his biggest corporate contributor. He should reveal his dealings with Blue Shield, and legislators’ communications with big donors should be made subject to disclosure under the Public Records Act.
Despite claiming to strongly support the Affordable Care Act, Blue Shield has written its biggest PAC checks to a leader of the crusade to repeal Obamacare—House Majority Leader Kevin McCarthy.
Obamacare’s premium rebate formula has a glitch that rewards insurers who overcharge. The industry, which has reaped over $700 million from the flaw, has kept it secret until now. Read my article on this at healthinsurance.org.
A Blue Shield tax filing and other records I cited in a whistleblower claim made to the IRS reveal possible tax evasion.
Blue Shield’s legal assault continues, but my whistleblowing is back on.
After agreeing not to look at portions of my defense that Blue Shield didn't want her to see, the judge ruled against my motion to dismiss the case.
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 costs resulting from administrative errors as medical expenses, Blue Shield appears to have shortchanged customers on rebates required by Obamacare’s limits on profits and administrative expenses.
In response to criticism over its conduct as a nonprofit, Blue Shield is holding its first “annual stakeholder meeting." The meeting is closed to all but a handful of handpicked guests.
A California regulator ruled that nonprofit Blue Shield has no public benefit duty, potentially costing Californians billions of dollars. She refuses to explain her decision.
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 Obamacare profit in 2014 partly by hindering access to care. That triggered a $107-million-excess-profit tax that it then forced enrollees to pay, at a cost of $223 each.
The most profitable Obamacare insurer in 2014 was a nonprofit health plan--Blue Shield of California.
The ruling by California’s health plan regulator that Blue Shield has no charitable trust obligation frees the nonprofit insurer to disregard the public good and privatizes its billions in assets.
As the LA Times reported today, Blue Shield is suing me. It's not going to work; I'm not going to shut up.