To protect patients from receiving an unexpected surprise bill when they seek care at in-network facilities from out-of-network providers, Governor Brown signed AB 72: California’s surprise out-of-network law. The new law...more
On September 23, 2016, Governor Brown signed AB 72, California’s surprise out-of-network law. The bill protects patients who seek care at an in-network facility from balance billing by individual health care providers who are...more
9/30/2016
/ Cost-Sharing ,
Employee Retirement Income Security Act (ERISA) ,
Governor Brown ,
Health Care Providers ,
Health Insurance ,
Managed Care Contracts ,
Medi-Cal ,
Medicare ,
New Legislation ,
Out of Network Provider ,
Patient Rights ,
Popular ,
Surprise Medical Bills
On April 13, 2016, a jury in Santa Clara, California awarded Aetna, Inc. $37.4 million from Bay Area Surgical Management, LLC (“BASM”), six of its affiliated surgery centers and its three principals. Aetna had accused the...more
4/19/2016
/ Aetna ,
Ambulatory Surgery Centers ,
Anti-Competitive ,
Civil Conspiracy ,
False Billing ,
Fraudulent Concealment ,
Health Insurance ,
Insurance Industry ,
Jury Awards ,
Kickbacks ,
Out of Network Provider ,
Unjust Enrichment