Introduction In October 2020, the Departments of Health and Human Services, Labor, and Treasury (collectively referred to as the “Departments”) released the Transparency in Coverage Final Rules (TIC) requiring, among other things, that non-grandfathered health plans disclose, on a public website, three machine-readable files disclosing health care
To our valued clients: We are pleased to announce that Anthem Blue Cross (“Anthem”) and Dignity Health (“Dignity”) have reached a new contract agreement that returns Dignity facilities to the Anthem network. The agreement is retroactive to July 15, 2021, and any care provided and received through
Dear Valued Clients, On December 27, 2020, President Trump signed Consolidated Appropriations Act, 2021 (“Act”). The voluminous appropriations and COVID-19 relief package also includes the most significant health care legislation since the Affordable Care Act, addressing balancing billing and cost transparency, as well as extending the COVID-related
Anthem Blue Cross and Dignity Health (“Dignity”) have been engaged in negotiations for several months to reach a new contract agreement in California and Nevada for hospital and physician services. Unfortunately, to date, Anthem Blue Cross and Dignity have been unable to come to terms on a new contract that provides greater affordability for our members, and their commercial hospital contract with Dignity may terminate effective July 15, 2021. Anthem Blue Cross continues to negotiate in good faith with Dignity Health in an effort to reach an agreement before the termination date.
Pinnacle Claims Management, Inc. (PCMI) portals login pages are getting a refreshed look! Starting July 1st, 2021, when you visit PCMI Portal sites HealthView for employees, PERC for employers and OPIS for providers, you’ll see a fresh new look for the login pages.
IRVINE, Calif. (June 8, 2021) – Pinnacle Claims Management, Inc., part of the Western Growers Family of Companies (WGFC), has announced it will facilitate patient care as a managing services organization at the Cedar Health and Wellness Center located in Oxnard, California. This continued venture in the
Q&A with Debbie Bellenger, Manager of Health and Wellness, Pinnacle Health Management Health and wellness benefits are evolving because of COVID-19. An estimated 57% of senior leaders are assigning a higher priority to care benefits to better support employees’ work/life balance due to the pandemic, according to
FAQs (Updated May 25, 2021) Subsidy Eligibility Q: What would disqualify a termed employee from being eligible for the subsidy? A: The subsidy is available to assistance eligible individuals (AEIs)—qualified beneficiaries who are eligible for and elect COBRA for a period of coverage within the subsidy period
This resource provides an overview of a specific federal and state developments. It is subject to change and is not intended to be, and should not be construed as, legal advice for any particular situation. You can read the attachment here, or review the text below. Last
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