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Last April, the California Hospital Association (CHA), a nonprofit member organization representing over 400 hospitals and health systems throughout California, sued Anthem Blue Cross in Los Angeles County Superior Court, alleging that certain Anthem practices were depriving patients of timely post-hospital health care and forcing hospitals to provide (and pay for) additional care after... Read More »
By Gianelli & Morris Posted on June 18, 2025
The Department of Managed Health Care (DMHC) is a California state agency charged with regulating insurance companies offering health plans in the state. When insurers violate laws intended to protect consumers and ensure access to adequate healthcare, the DMHC’s Office of Enforcement has many tools at its disposal to punish violators and order corrective... Read More »
By Gianelli & Morris Posted on May 21, 2025
The California Department of Managed Health Care (DMHC) licenses and monitors health plans operating in the state. The DMHC Office of Enforcement works to change plan behavior to comply with the law, utilizing enforcement actions including cease and desist orders, administrative penalties (fines), freezing enrollment, and requiring corrective actions. In some cases, the DMHC... Read More »
By Gianelli & Morris Posted on May 19, 2025
When a health insurance company denies a valid claim, it’s more than just a financial setback—it’s a betrayal of trust at a time when policyholders are most vulnerable. Unfortunately, pursuing legal action against an insurance company for a wrongful denial isn’t as simple as it may seem. Health insurance denial cases are legally and... Read More »
By Gianelli & Morris Posted on April 25, 2025
If you’ve ever had a health insurance claim denied, the reason may have had something to do with a document called the Evidence of Coverage (EOC). While most people don’t pay much attention to this document when signing up for a health plan, it becomes critically important when a health insurer denies a service,... Read More »
By Gianelli & Morris Posted on April 24, 2025