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  News

Aetna Will Pay Approximately 35 Billion Dollars To Buy Humana.
By Lonce LaMon - July 3, 2015

Aetna will buy its rival Humana and spend more like 37 billion dollars counting the assumed debt.  This cash and stock deal announced early today, Friday, July 3rd 2015, will make Aetna a big player in the rapidly growing Medicare Advantage business.  Humana has nearly 3.2 million people enrolled in Medicare Advantage plans. 

Based in Hartford, Connecticut, Aetna announced this deal one day after the Medicaid provider Centene announced it would spend 6.3 billion dollars to buy fellow insurer Health Net. 


California tax officials blast Blue Shield in audit : Los Angeles Times  July 5, 2015
In a scathing audit, state tax officials slammed nonprofit health insurer Blue Shield of California for stockpiling "extraordinarily high surpluses" — more than $4 billion — and for failing to offer more affordable coverage or other public benefits.
 
The California Franchise Tax Board cited those reasons, among others, for revoking Blue Shield's state tax exemption last year, according to documents related to the audit that were reviewed by The Times. These details have remained secret until now because the insurer and tax board have refused to make public the audit and related records.

News

Class Action Filed June 23rd Claims Berkshire Hathaway And Other Comp Carriers Hacked Into Applicants' Attorney, Claimant Confidential Files
By Courthouse News Service - July 3, 2015

LOS ANGELES (CN) - Major worker's compensation insurers, including a Berkshire Hathaway company, hacke...

Ninth Circuit Court Upholds California's SB 863 Requirement For Lien Holders To Pay $100 Activation Fee
By Courthouse News Service - June 30, 2015

The Ninth Circuit upheld California's requirement Monday that holders of workers' compensation liens p...

New Decision Helps In Filing Negligence In Transportation Claims To Save Work Comp Costs
By Theodore Ronca - June 30, 2015

A new decision, “Pasternack, Tilker et al, LLP”, 2d Dept. (6/10/2015) helps transportation compani...

Features

With Tools Available, Claims Administrators Need To Implement Solutions To Stop Physician Dispensing Abuse
By William M. Zachry - April 23, 2015

Joe Paduda, in his fine article published by his own publication

People

Betty Johnson, Los Angeles Area Veteran Workers' Compensation Claims Adjuster, Retires From Sedgwick CMS
By Lonce LaMon - April 23, 2015

Betty Johnson, a 30-plus-year veteran workers’ compensation claims adjuster prof...

 
 

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