Carrier News

Physicians for Healthy Hospitals and KPC Hospitals System Network Contracts With Blue Shield Of California Have Terminated

After months of negotiations, Blue Shield of California and Physicians for Healthy Hospitals, (PHH)/KPC Hospitals System, have not reached mutual agreement on rates and terms for their hospital contra...

New Standard for Aetna Premium Payments: An Ongoing ACH Debit

Starting August 1, 2019, Aetna’s ongoing ACH debit will be the standard method for premium payments (paper check is no longer accepted). Regularly scheduled payments will be based on the membership at...

Sharp Health Plan Decreases HMO Rates for Q4 2019

Sharp Health Plan has released their Q4 rates with a decrease on all HMO plans. The Full Choice network will decrease by 4.5% while the limited HMO networks will decrease 5.9% compared to Q3 2019 rate...

UnitedHealthcare Q4 2019 Update

UnitedHealthcare has released rates for Q4 2019. There are no changes to plan benefits, packages, or networks. The statewide average increase is 1% for HMOs and 1.5% for PPOs. eServices Update Comi...

Choice Builder® Announces Significant Rate Decrease for Their Delta Dental Plans

Choice Builder® has some great news to share. Effective July 1, 2019, rates on all their Delta Dental PPOs will have a significant decrease. The decreases are as follows: Platinum -2.7% Gold -...

WHA to End Contract With Canopy Health

Canopy Health and Western Health Advantage have mutually agreed not to renew their provider service agreement effective January 1, 2020, ending a two-year partnership in the Bay Area. This means that ...

What’s New with Anthem in Small Group? New Network. New Plans

Anthem Blue Cross is bringing back a new and improved limited HMO network, Priority Select, in regions 15 through 19. This network was built with the following criteria in mind: medical groups demonst...

Blue Shield of California Invites Members to New and Improved Wellvolution Program

Wellvolution has been redesigned for 2019 to give your clients the tools for obtaining optimal health, whether that means staying fit, preventing disease, or treating existing conditions. Key facts...

Western Health Advantage Q4 Update

Western Health Advantage (WHA) announced a rate pass for Q4 2019. This is WHA’s second rate pass this year, after issuing one for Q3. Rates are valid from October 1, 2019 to December 1, 2019. There ar...

Anthem Blue Cross Enhances Priority Select HMO Network in SoCal

Effective July 1, 2019, Anthem Blue Cross is significantly enhancing the Priority Select HMO network for large groups in Southern California. Forty medical groups are being added as of July 1, 2019: ...

Walmart and Sam’s Club Join MetLife’s Vision Network

Effective August 1, 2019, Walmart and Sam’s Club will join MetLife’s nationwide vision network. More than ever, your brokers can confidently recommend a network with more than 100,000 access points na...

Anthem Blue Cross Alerts Brokers About Letter Sent In Error

Anthem Blue Cross is alerting brokers that a subset of customers (7,388 SBGs) received a letter in error. The letter advised them that their transition to Anthem’s new PBM, Ingenio Rx, would be effect...