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    Reminder: Anthem fee schedule changes effective July 1

    June 07, 2019
    Physicians are reminded that the changes to the Anthem Blue Cross Prudent Buyer Participating Physician Agreement and f...

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    TRICARE mental health transitions to Health Net Federal Services

    May 09, 2019
    Effective May 13, 2019, Health Net Federal Services (HNFS) will assume management duties for the TRICARE West mental ...

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    Updated FAQ available for DHCS fiscal intermediary transfer

    May 09, 2019
    The contract with the current fiscal intermediary will continue to run parallel with DXC until September 30, 2019.

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    Reminder: Physicians encouraged to review changes to Anthem fee schedule

    May 08, 2019
    Anthem will be increasing payment for the more commonly billed Evaluation and Management (E/M) services.

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    Reminder: Blue Shield/Care1st to complete integration Jan. 1, 2019

    December 12, 2018
    On January 1, 2019, Blue Shield of California will complete the integration of Care1st Health Plan into its operations,...

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    Health Net Federal Services continues to address TRICARE transition issues

    September 10, 2018
    As previously reported, Health Net Federal Services (HNFS) has experienced implementation issues since taking over as t...

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    New Medi-Cal provider enrollment system to go live Sept. 4

    August 28, 2018
    The California Department of Health Care Services (DHCS) is releasing an update to its Medi-Cal provider enrollment sy...

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    UnitedHealthcare Community Plan preps for entry into additional Medi-Cal and Medicare Advantage markets

    August 23, 2018
    Looking to increase its presence in the Medi-Cal and Medicare Advantage marketplace by 2021, UnitedHealthcare (UHC) Com...

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    Health Net Federal Services experiences significant challenges with TRICARE transition

    July 24, 2018
    On January 1, 2018, Health Net Federal Services (HNFS) became the new Defense Heath Agency (DHA) managed care contractor...

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    Health plans terminate relationship with Vantage Medical Group

    July 06, 2018
    The California Medical Association (CMA) has learned that two health plans, the Inland Empire Health Plan (IEHP) and Mo...

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    CMS considering direct payor contracting payment model

    May 29, 2018
    The Center for Medicare and Medicaid Innovation (CMMI) recently requested comments on a potential alternative payment m...

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    Defense Health Agency extends temporary waiver for TRICARE authorizations and referrals

    March 19, 2018
    Since the transition of TRICARE managed care services from United Health Military & Veterans (UMVS) to Health Net Feder...

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    CMA publishes guide for physicians affected by EHS contract terminations

    February 16, 2018
    On December 26, 2017, the California Department of Managed Health Care (DMHC) issued a cease-and-desist order, requiring...

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    Health plans terminate contracts with EHS and transition patients to other entities

    January 30, 2018
    As previously reported, the California Department of Managed Health Care (DMHC) issued a cease-and-desist order on De...

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    Reminder: Anthem only serving three Covered California regions in 2018

    January 18, 2018
    The California Medical Association (CMA) is reminding physicians that Anthem Blue Cross has exited California’s exchang...

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    CMS announces new voluntary bundled payment model

    January 17, 2018
    The Centers for Medicare and Medicaid Services (CMS) has announced a new voluntary bundled-payment model. Called the Bun...

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    DMHC orders 600,000 patients transferred from troubled medical group

    January 16, 2018
    The California Department of Managed Health Care (DMHC) issued a cease-and-desist order on December 26, 2017, requiri...

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    Anthem Blue Cross cuts ties with Nivano Physicians Medical Group

    December 14, 2017
    Anthem Blue Cross is in the process of terminating its relationship with Nivano Physicians Medical Group for its HMO an...

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    Physicians don’t have to accept substandard contracts

    December 14, 2017
    Remember, state law requires payors to give advance notice of material contract changes, with the opportunity for physi...

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    Do you know if non-contracted payors are complying with AB 72 interim payment rules?

    December 14, 2017
    AB 72, California’s new out-of-network billing and payment law, requires fully insured commercial plans and insurers to...

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    Do you see TRICARE patients? Check out CMA’s new toolkit to assist physicians with the transition

    December 14, 2017
    On January 1, 2018, Health Net Federal Services (HNFS) will begin providing managed care services to 2.9 million TRICAR...

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    Noridian to offer webinar on Medicare Provider Enrollment on December 12

    December 11, 2017
    Noridian, California's Medicare Administrative Contractor, is offering a webinar on December 12, 2017, from 11 a.m. to ...

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    Health Net Federal Services offering webinars on TRICARE transition

    December 05, 2017
    On January 1, 2018, Health Net Federal Services (HNFS) will begin providing managed care services to 2.9 million TRICAR...

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    Last day to change your Medicare participation status for 2018 is December 31

    November 13, 2017
    Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status. Phy...

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    Reminder: Don’t hesitate to revalidate, or Medicare will deactivate

    November 09, 2017
    Noridian, Medicare’s administrative contractor for California, continues to deactivate providers for not responding to ...

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    Blue Shield to update fee schedule effective December 1

    October 06, 2017
    While the notice indicated that the new rates would be available on the Blue Shield website by October 1, CMA has lea...

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    Physicians have until December 1 to dispute 2016 PQRS and QRUR findings

    October 06, 2017
    The Centers for Medicare and Medicaid Services (CMS) recently released data that indicates which physicians will be su...

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