About Holding Insurers Accountable
Patients deserve access to health care without unnecessary barriers from their insurance companies. But with 94% of the commercial health insurance market controlled by just six companies, health insurance companies have enormous power in California — and they increasingly use that power to deny enrollees access to care or even refuse to pay for care that’s already been delivered, all while padding their bottom lines. CHA is advocating for increased oversight and accountability to ensure commercial insurers meet their basic responsibilities to patients.
In 2023, CHA filed a lawsuit against Anthem alleging that it failed to ensure timely care for its beneficiaries. Read the latest here.
CHA also participates in the American Hospital Association’s Vitality Index, a key advocacy tool that tracks claims data. Learn more.
New Anthem Payment Policy Hurts Patients, Violates CA Law: CHA Lawsuit
SACRAMENTO (May 4, 2026) — The California Hospital Association (CHA) has filed a lawsuit against Anthem Blue Cross to prevent the insurance giant from penalizing hospitals when Anthem enrollees choose a doctor that is out of network, a choice explicitly allowed by their health insurance plan.
Anthem to Impose 10% Penalty on Hospital Claims Involving Non-Participating Providers
What’s happening: Anthem Blue Cross of California announced in a provider bulletin that, on June 1, it will implement a controversial policy that applies a 10% payment penalty on facility claims when hospitals provide care to patients involving non-participating physicians or providers.