
California Law Prohibits Using AI as Basis for Claims Denial
According to a report by The Mercury News, a leading daily newspaper in California, nearly one-fourth of all health insurance claims in the state were denied last year. Some of

Health Net | Treatment for Infertility And Fertility Services
Senate Bill 729 requires Large Group healthcare service plans and insurance policies issued, amended, or renewed on or after July 1, 2025, to cover fertility treatments, including in vitro fertilization

Blue Shield | Annual (RxDC) Prescription Healthcare Spending Survey
Blue Shield of California is collecting D1 Premium Contribution data as part of the Consolidated Appropriations Act, Section 204 (2021)–Prescription Drug Cost Reporting regulation, on behalf of employer groups. Groups

Anthem | 2024 CAA D1 Rx Data Collection – Helpful FAQs
The Prescription Drug Data Collection (RxDC) reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends be submitted to the U.S. Department of Health and Human

Aetna ACA Rate Update, April 2025
Aetna small group ACA has issued a rate update for Q2 2025. Quoting is available. Statewide average change for the quarter shows the following changes: HMO: 3.4% PPO 4.2% 2025 Portfolio

Anthem | Benefit Relief for Members Impacted by Wildfires Extended
Anthem Blue Cross has extended its benefit relief measures for members affected by the recent wildfires in California, now effective through February 20, 2025. These temporary changes aim to ensure