The California Medical Association’s (CMA) Center for Economic Services is publishing updated profiles on each of the major payors in California including Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, UnitedHealthcare, Medicare/Noridian and Medi-Cal. Each profile includes key information on health plan market penetration; a description of the plan’s dispute resolution process; and the name and contact numbers for medical directors, provider relations, and other key contacts.
Don’t waste your time searching the internet for this information – members can download CMA’s Payor Profiles free of charge in the CMA Resource Library.
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December 21, 2024
Congress narrowly averted a government shutdown, passing a bill to keep the government funded late last night. While th...
December 20, 2024
Congress is poised to pass a Continuing Resolution to avoid a government shutdown. While the bill does extend expiring ...
December 19, 2024
As a government shut down looms, U.S. House Speaker Mike Johnson and House Republicans today unveiled a proposal
CDPH is urging health care providers to consider the possibility of avian influenza A virus infection in patients.
December 18, 2024
CMA is proud to announce our upcoming events for 2025! Save the date or register now to save your spot.
December 16, 2024
With the new year just around the corner, physicians are reminded to verify patients' eligibility and benefits to ensur...
December 13, 2024
A new law requires many health care entities to file reports with the U.S. Department of the Treasury’s Financial Crime...
December 04, 2024
CMS has proposed new regulations aimed at reducing the inappropriate use of prior authorization in Medicare Advantage p...
Managed care plans must implement Medi-Cal targeted rate increases and make all retroactive payments to eligible networ...
CMA is urging Congress to pass HR 9572, which will increase penalties for health plans that violate the No Surprises Ac...
December 03, 2024
CMA wishes to extend its thanks to outgoing lawmakers who have advocated for CMA priorities, carried sponsored legislat...
In a sign of legislative momentum, a bipartisan group of 41 U.S. senators – including California Sens. Laphonza R. Butl...
December 02, 2024
CMA has published its annual Legislative Wrap-Up providing an inside look at what went down the 2024 legislative sessio...
November 27, 2024
MedWay streamlines practice operations and allow physicians to focus more on clinical work, improving both patient
November 26, 2024
DEA for the third time extends pandemic era waivers that allow controlled substances to be prescribed via telemedicine....
To help physician practices understand their participation status, which products are being offered and what changes to...
November 22, 2024
PHC – the philanthropic arm of the California Medical Association – announced more than $25 million in CalMedForce
November 20, 2024
Molina Healthcare of California and CMA PSO today announced the launch of a quality improvement project to improve Medi...
November 19, 2024
In California, both DMHC and CDI offer an independent medical review (IMR) process that allows patients to appeal healt...
The Medical Board of California is transitioning to a paperless renewal process and will not accept paper renewal forms...
On January 1, 2025, TriWest Healthcare Alliance will begin providing managed care services to TRICARE beneficiaries in ...
November 15, 2024
In partnership with The Doctors Company, CMA is hosting a free webinar – Policy, Practice and the 2024 Election - Wha...
November 14, 2024
CMS has finalized the 2025 Medicare physician payment policies, including the 2.8% physician payment cut.
November 13, 2024
If you plan to change your Medicare participation status for 2025, you must do by December 31. Unless Congress interven...
November 08, 2024
Medi-Cal will be reprocessing previously denied claims for Flucelvax with dates of service back to August 1...
CMA's third annual HIT Summit will take place May 6-7, 2025, in San Diego. California’s premier health IT event will br...
November 05, 2024
California voters have overwhelmingly approved Proposition 35, a historic investment in Medi-Cal, which serves 15 milli...
November 04, 2024
Medi-Cal Rx will reinstate claim edits and prior authorization requirements for patients 21 years of age and younger on...
DHCS is looking for physicians to participate in online focus groups to identify opportunities to strengthen communicat...
October 31, 2024
Medical students are invited to apply for the next cycle of MedStudents serve. Application opens on Nov. 6, 2024, and w...
October 30, 2024
CMA is asking all physicians to contact their congressional representatives and urge them to cosponsor a bill to stop M...
CALPAC for the fifth time in six years shattered all previous fundraising records in its history, raising $245,710 as i...
San Luis Obispo pediatrician René Bravo, M.D., was named CMA president-elect at the association’s annual House of Deleg...
San Francisco pediatrician Shannon Udovic-Constant, M.D., was installed this weekend as the new California Medical Asso...
October 29, 2024
Today, California Representatives and their bipartisan counterparts introduced the Medicare Patient Access and Practice...
October 27, 2024
Dr. Linda Clever receives CMA’s Nye Award for her substantial contributions in the field of physician health and wellne...
Santa Cruz physician Dr. Larry DeGhetaldi received CMA’s 2024 Speakers Recognition Award for his substantial contributi...
CSERF’s SPIRIT program receives CMA’s 2024 Compassionate Service Award for addressing critical health care needs for un...
October 26, 2024
Modesto family physician and diabetologist Gopika Gangupantula, M.D., received CMA's 2024 Frederick K.M. Plessner
October 23, 2024
Noridian has fixed a system issue resulting in mispriced and denied flu vaccine claims and will automatically be reproc...
CDPH has updated screening guidelines in response to rising syphilis rates in the state. Under the new guidelines healt...
October 11, 2024
Effective Dec. 9, 2024, submitters who submit certain batch transactions on behalf of Medi-Cal providers will be requir...
October 10, 2024
Medical facilities and practices across the U.S. are being urged to conserve IV fluids and dialysis solution after a ma...
October 09, 2024
DHCS recently announced that it will be deactivating Medi-Cal Rx override code “55555” effective October 18, 2024. This...
October 08, 2024
Proposition 35 will secure dedicated funding to keep hospitals, clinics and doctors’ offices open; protect and expand a...
In health care, ending a patient relationship is never a simple decision—and it is one that must be approached with emp...
On Tuesday, October 15, CMA President Tanya W. Spirtos, M.D., and CMA CEO Dustin Corcoran are hosting a special webinar...
October 02, 2024
In August 2024, CMA was notified by a physician practice that Blue Shield of California was mistakenly denying claims f...