Health insurance companies have enormous power in California. In fact, 94% of the commercial health insurance market is controlled by just six companies. They are increasingly denying enrollees access to care, and even refusing to pay for care that’s already been delivered, all while padding their bottom lines. CHA is working to hold insurers accountable for meeting their basic responsibilities to patients and advocating for increased oversight and accountability for insurance companies.
For more information about CHA’s work to hold insurers accountable, contact:
Patricia Blaisdell
Latest News
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CMS Responds to Congressional Letter Urging Adequate IRF Access
CHA News -
CHA Summary Covers Proposed Changes to Medicare Advantage Part D Plans
CHA News -
DMHC Fines Blue Cross of California $3.5 Million, Second Grievance-Related Fine in Recent History
CHA News -
CMS Requires Patient Reclassification Notices in February 2025
CHA News
Litigation
In April 2024, CHA filed a lawsuit against Anthem Blue Cross alleging that the insurance giant is harming patients due to its disregard for state requirements to maintain an adequate network of care providers and not paying for the additional hospital care it forces to be provided to patients.
Hospital Association Files Lawsuit Against Anthem Blue Cross for Violating Patient Protection State Laws
SACRAMENTO (April 23, 2024) — Anthem Blue Cross, one of California’s largest health insurance companies, consistently leaves thousands of its patients stranded in hospital beds long after they have been medically cleared for discharge, a violation of California law. These victims of discharge delays are forced to stay in hospitals longer, are deprived of timely post-hospital health care services, and cause backlogs for other patients who have to wait longer for hospital beds.
Legislative Advocacy
AB 1842 | Facilitate Access to Medication-Assisted Treatment
Reyes, D-San Bernardino
Would ban prior authorization for medication-assisted treatment
Resources
Infographic
Patients Suffer as Too
Many Insurance Companies
Pad Their Bottom Lines
Issue Brief
State Regulators Must Take Action to Ensure Patients Get Care When They Need It
Statewide Survey on Insurer-Driven Discharge Crisis
Insurance Company Red Tape, Inadequate Networks, and Authorization Denials Leave Patients Stranded in Hospitals
On-Demand Education
DMHC Complaint and Appeals Process – March 26, 2024 – 59 min
Vitality Payer Scorecard: Holding Insurers Accountable – February 27, 2024 – 57 min