Managed Care Report
• Anthem Blue Cross and Blue Shield of Connecticut was charged a $74 million fine for fraudulant conduct over its predecessor’s role as a fee-for-service fiscal intermediary (FI). The settlement, covering Blue Cross and Blue Shield of Connecticut’s FI business before its 1997 merger with Anthem Health Plans, is part of the second largest civil settlement in a healthcare fraud case involving a Medicare contract.
• WellPoint Health Networks’ acquisiton of Blue Cross and Blue Shield of Georgia (BCBSGA) and its parent company has been further delayed by a dispute over who the company’s shareholders are, reported Managed Care Week. The Georgia Court of Appeals must determine who should receive shares of Cerulean Companies, BCBSGA’s parent company.
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