Latest news with #BlueShield
Yahoo
5 days ago
- Health
- Yahoo
Anthem signs provider network agreement with Children's Healthcare
Anthem Blue Cross and Blue Shield has entered a provider network agreement with US-based paediatric healthcare provider Children's Healthcare of Atlanta. This multi-year partnership will continue to offer access to 2,300 paediatric doctors and allied health practitioners in more than 60 programmes. Children's Healthcare of Atlanta has three hospitals, Arthur M. Blank, Hughes Spalding and Scottish Rite, and other neighbourhood locations. Anthem Blue Cross and Blue Shield Georgia president Robert Bunch said: 'We are pleased to continue our valuable alliance with Children's Healthcare of Atlanta to provide specialised care for our youngest members across Georgia. 'We are fortunate to have the Southeast's top paediatric hospital right here in our backyard to make sure access to quality care is not an issue for our children and teens.' The partnership between Anthem and Children's Healthcare of Atlanta will incorporate clinical information and digital links to streamline operations and lessen administrative workloads. These measures aim to facilitate improved, patient-centred treatment and are anticipated to enhance the health results for patients under the care of the healthcare provider who are covered by Anthem health plans. Children's Healthcare of Atlanta CEO Donna Hyland said: 'As Georgia's only freestanding paediatric healthcare system, we are happy that this agreement will maintain access to the specialised paediatric care that Georgia's families depend on. 'We believe every child deserves the care that only Children's can provide.' This agreement follows Anthem Blue Cross and Blue Shield's recent multi-year provider network agreement with Resurgens Orthopaedics, which also focuses on clinical data integration and improving digital connectivity. In April, Inova entered a multi-year agreement with Anthem Blue Cross and Blue Shield to continue offering service access for Anthem plan members. "Anthem signs provider network agreement with Children's Healthcare" was originally created and published by Hospital Management, a GlobalData owned brand. The information on this site has been included in good faith for general informational purposes only. It is not intended to amount to advice on which you should rely, and we give no representation, warranty or guarantee, whether express or implied as to its accuracy or completeness. You must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content on our site.
Yahoo
5 days ago
- Business
- Yahoo
The Civic 50 Award Honors Blue Shield of California as One of the Most Community-Minded Companies in the Nation
Nonprofit health plan recognized for its commitment to "Stand for What's Right" for third consecutive year. OAKLAND, Calif., June 5, 2025 /PRNewswire/ -- Blue Shield of California has been named a 2025 honoree of The Civic 50 by Points of Light, the world's largest organization dedicated to increasing volunteering. For more than a decade, The Civic 50 award has served as the national standard for corporate citizenship and showcases how leading companies are moving social impact and community to the core of their business. "Living our mission and building a healthier California requires us to be present in our communities and show up as a positive force," said Mike Stuart, interim president and CEO, Blue Shield of California. "This recognition is a testament to the passion and commitment of our employees and how we come together to make a positive difference for our members, communities and planet. We are very proud to be recognized again by The Civic 50 for our strong culture of philanthropy and our dedication to living out our mission." The Civic 50 honorees are top community-minded companies in the United States with annual revenues of at least $1 billion. Honorees are selected through an annual survey that evaluates the scale, sophistication and impact of their employee volunteering, community engagement and corporate philanthropy work. Blue Shield is one of California's largest health plans with more than 7,500 employees, serving 6 million members. Blue Shield is a nonprofit health plan that voluntarily caps its income at 2% of revenue, returning the difference back to customers and California communities. "In an ever-evolving landscape, companies are looking to ensure that they can meet the needs of their communities, customers and stakeholders," said Jennifer Sirangelo, president and CEO, Points of Light. "Companies like Blue Shield of California are leading the way in showing how social impact benefits their employees' well-being, strengthens the communities where they do business, and brings value and meaning to their work. Their efforts provide a model for others looking to bring the benefits of volunteering and social impact to their workforce and they're extremely deserving of this recognition." An honoree in 2021, 2023 and 2024, Blue Shield was recognized this year for a variety of programs including: Record-breaking employee volunteerism and givingNearly every employee (99%) gave back in 2024, volunteering more than 68,000 hours and donating over $1.6 million (including company match) to more than 2,600 nonprofit organizations. The company facilitated more than 375 volunteer events, ranging from home repairs and tree plantings, to fundraising for therapy animal programs and diabetes prevention. Investing in communitiesIn 2024, the health plan contributed $20 million to its Blue Shield of California Foundation, which supported 99 grants to organizations that are working to make California the healthiest state and end domestic violence. In addition, Blue Shield invested $7.2 million in California nonprofits that are advancing mental health, environmental sustainability and the future healthcare workforce. Expanding access to youth mental health supportBlueSky, Blue Shield's youth mental health initiative, celebrated its 5-year anniversary last year. The initiative invests in best-in-class nonprofit organizations and programs that promote emotional well-being for young people across California. To date, BlueSky has supported over 20,000 youth and educators through therapy, training and youth advocacy programs. Driving environmental actionBlue Shield is leading the health plan industry in addressing the intersection of climate and health. Committed to the Science Based Targets initiative (SBTi), Blue Shield has also expanded efforts to address emissions across its supply chain. At the same time, Blue Shield continued to invest in nonprofit groups focused on environmental justice, while empowering employees and members to take part in sustainability efforts. In 2024, 71% of eligible members chose paperless communications, saving the equivalent of over 20,000 trees annually. The Civic 50 survey is administered by True Impact, and the results are analyzed by VeraWorks. The survey instrument consists of quantitative and multiple-choice questions that inform the scoring process. The Civic 50 is the only survey and ranking system that exclusively measures corporate community engagement. For more on The Civic 50, visit Read more about Blue Shield of California's citizenship efforts at or visit the "Standing for What's Right" section of our 2024 Mission Report. About Blue Shield of CaliforniaBlue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities. For more news about Blue Shield of California, please visit Or follow us on LinkedIn or Facebook. About Points of LightPoints of Light is a nonpartisan, global nonprofit organization that inspires, equips, and mobilizes millions of people to take action that creates a positive impact through volunteering and civic engagement. Through partnerships with nonprofits, companies and social impact leaders, the organization galvanizes volunteers to meet critical needs for healthier and more resilient communities. As the world's largest organization dedicated to increasing volunteer service, Points of Light engages more than 3.8 million volunteers across 32 countries. For more information, visit CONTACT: Mark SeeligBlue Shield of California 510-607-2359 media@ View original content to download multimedia: SOURCE Blue Shield of California Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Business Wire
6 days ago
- Health
- Business Wire
Anthem Blue Cross and Blue Shield and Children's Healthcare of Atlanta Announce Multi-Year Contract
ATLANTA--(BUSINESS WIRE)--Anthem Blue Cross and Blue Shield announced today a new, multi-year provider network agreement with Children's Healthcare of Atlanta, Georgia's leading pediatric healthcare provider with three hospitals and multiple neighborhood locations. This partnership will continue to provide access to 2,300 pediatric physicians and allied health practitioners across more than 60 pediatric programs. 'We are pleased to continue our valuable alliance with Children's Healthcare of Atlanta to provide specialized care for our youngest members across Georgia,' said Robert Bunch, President of Anthem Blue Cross and Blue Shield of Georgia. Share 'We are pleased to continue our valuable alliance with Children's Healthcare of Atlanta to provide specialized care for our youngest members across Georgia,' said Robert Bunch, President of Anthem Blue Cross and Blue Shield of Georgia. 'We are fortunate to have the Southeast's top pediatric hospital right here in our backyard to make sure access to quality care is not an issue for our children and teens.' As part of the agreement, the two organizations will continue to concentrate on the integration of clinical data and digital connectivity to optimize processes, lessen administrative burdens, and enable efficient, patient-focused care. These efforts aim to drive improved health outcomes, benefiting Children's patients covered by Anthem health plans, including employer-sponsored, individual, and Medicaid. 'As Georgia's only freestanding pediatric healthcare system, we are happy that this agreement will maintain access to the specialized pediatric care that Georgia's families depend on,' said Donna Hyland, CEO, Children's Healthcare of Atlanta. 'We believe every child deserves the care that only Children's can provide.' About Anthem Blue Cross and Blue Shield Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc., an independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Additional information about Anthem Blue Cross and Blue Shield is available at Also, follow us at @anthemBCBS on X or on LinkedIn. About Children's Healthcare of Atlanta As the only freestanding pediatric healthcare system in Georgia, Children's Healthcare of Atlanta is the trusted leader in caring for kids. The not-for-profit organization's mission is to make kids better today and healthier tomorrow through more than 60 pediatric specialties and programs, top healthcare professionals, and leading research and technology. Children's is one of the largest pediatric clinical care providers in the country, managing more than one million patient visits annually at three hospitals (Arthur M. Blank, Hughes Spalding and Scottish Rite), Marcus Autism Center, the Center for Advanced Pediatrics, the Zalik Behavioral and Mental Health Center, urgent care centers and neighborhood locations. Consistently ranked among the top children's hospitals by U.S. News & World Report, Children's Healthcare of Atlanta has impacted the lives of kids in Georgia, across the United States and around the world for more than 100 years thanks to generous support from the community.
Yahoo
02-06-2025
- Business
- Yahoo
Blue Shield of California Helps Seniors Be on Alert for Medicare Scams
Nonprofit health plan urges members and the public to protect themselves from fraud involving medical supplies, services not received, and suspicious charges OAKLAND, Calif., June 2, 2025 /PRNewswire/ -- In observance of Medicare Fraud Prevention Week, Blue Shield of California is highlighting its commitment to safeguarding Medicare beneficiaries against scams and fraudulent activities. With healthcare fraud continuing to rise across the country, protecting seniors has never been more critical. Highlighting the severity of Medicare fraud, the U.S. Department of Justice charged 193 individuals, including 76 medical professionals, in a nationwide healthcare fraud enforcement action in 2024. The schemes involved over $2.75 billion in alleged false claims, including fraudulent telemedicine and prescription drug schemes. "Medicare fraud and scams continue to pose a serious threat to older adults," said Alex Uhm, vice president and general manager at Blue Shield. "We are committed to enhancing our preventive measures and providing our members with the tools and knowledge to protect themselves." Blue Shield's efforts to protect its members include distributing updated member education materials that highlight common fraud schemes and preventive measures, and the introduction of an online portal for members to report suspected fraud. Blue Shield's Special Investigations Unit (SIU) is dedicated to detecting healthcare fraud and protecting our members by identifying suspicious activity and potential fraud. This proactive approach helps keep members safe and ensures fraud is addressed quickly. Blue Shield's SIU team tackles fraud across all areas, but experts have identified several prevalent scams targeting seniors, including: Unsolicited medical supplies: Receiving items such as catheters, diabetic supplies or back braces that were neither ordered nor needed. Impersonation scams: Fraudsters posing as health plan representatives to obtain personal information. Phantom billing: Charges for services or tests that were never provided. Artificial Intelligence (AI)-driven fraud: Emerging tactics include the misuse of beneficiary information to bill for unrequested services, and the use of AI to impersonate members and providers, as well as fabricate medical records for billing purposes. Blue Shield encourages its members to: Review statements: Carefully examine Explanation of Benefits (EOB) statements for any discrepancies. Protect personal information: Avoid sharing personal details over the phone or online unless certain of the recipient's identity. Report suspicious activity: Immediately report any unfamiliar charges or services not received to the health plan's Special Investigations Unit (SIU). If seniors or their caregivers suspect fraud, call Blue Shield's Medicare fraud hotline at (855) 331-4894 (TTY:711) or email MedicareStopFraud@ Medicare beneficiaries who suspect fraud or scams are also encouraged to take these actions: Contact your health plan: Use the phone number on your health plan card to report any suspicious activity. Report lost or stolen ID cards: Inform your health plan immediately if your ID card is lost or stolen, and request a new card and ID number. Review your statements: Carefully examine your Explanation of Benefits (EOB) for any services you do not recognize. Be cautious with phone calls: Even if the caller ID looks legitimate, do not confirm any personal information such as your Medicare number or social security number over the phone. Protect your health plan card: Never loan your health plan card to anyone. For more tips on how to stay safe from healthcare fraud, visit: About Blue Shield of CaliforniaBlue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities. For more news about Blue Shield of California, please visit Or follow us on LinkedIn or Facebook. CONTACT: Mashi Nyssen Blue Shield of California 510-607-2359media@ View original content to download multimedia: SOURCE Blue Shield of California
Yahoo
02-06-2025
- Business
- Yahoo
Blue Shield of California Helps Seniors Be on Alert for Medicare Scams
Nonprofit health plan urges members and the public to protect themselves from fraud involving medical supplies, services not received, and suspicious charges OAKLAND, Calif., June 2, 2025 /PRNewswire/ -- In observance of Medicare Fraud Prevention Week, Blue Shield of California is highlighting its commitment to safeguarding Medicare beneficiaries against scams and fraudulent activities. With healthcare fraud continuing to rise across the country, protecting seniors has never been more critical. Highlighting the severity of Medicare fraud, the U.S. Department of Justice charged 193 individuals, including 76 medical professionals, in a nationwide healthcare fraud enforcement action in 2024. The schemes involved over $2.75 billion in alleged false claims, including fraudulent telemedicine and prescription drug schemes. "Medicare fraud and scams continue to pose a serious threat to older adults," said Alex Uhm, vice president and general manager at Blue Shield. "We are committed to enhancing our preventive measures and providing our members with the tools and knowledge to protect themselves." Blue Shield's efforts to protect its members include distributing updated member education materials that highlight common fraud schemes and preventive measures, and the introduction of an online portal for members to report suspected fraud. Blue Shield's Special Investigations Unit (SIU) is dedicated to detecting healthcare fraud and protecting our members by identifying suspicious activity and potential fraud. This proactive approach helps keep members safe and ensures fraud is addressed quickly. Blue Shield's SIU team tackles fraud across all areas, but experts have identified several prevalent scams targeting seniors, including: Unsolicited medical supplies: Receiving items such as catheters, diabetic supplies or back braces that were neither ordered nor needed. Impersonation scams: Fraudsters posing as health plan representatives to obtain personal information. Phantom billing: Charges for services or tests that were never provided. Artificial Intelligence (AI)-driven fraud: Emerging tactics include the misuse of beneficiary information to bill for unrequested services, and the use of AI to impersonate members and providers, as well as fabricate medical records for billing purposes. Blue Shield encourages its members to: Review statements: Carefully examine Explanation of Benefits (EOB) statements for any discrepancies. Protect personal information: Avoid sharing personal details over the phone or online unless certain of the recipient's identity. Report suspicious activity: Immediately report any unfamiliar charges or services not received to the health plan's Special Investigations Unit (SIU). If seniors or their caregivers suspect fraud, call Blue Shield's Medicare fraud hotline at (855) 331-4894 (TTY:711) or email MedicareStopFraud@ Medicare beneficiaries who suspect fraud or scams are also encouraged to take these actions: Contact your health plan: Use the phone number on your health plan card to report any suspicious activity. Report lost or stolen ID cards: Inform your health plan immediately if your ID card is lost or stolen, and request a new card and ID number. Review your statements: Carefully examine your Explanation of Benefits (EOB) for any services you do not recognize. Be cautious with phone calls: Even if the caller ID looks legitimate, do not confirm any personal information such as your Medicare number or social security number over the phone. Protect your health plan card: Never loan your health plan card to anyone. For more tips on how to stay safe from healthcare fraud, visit: About Blue Shield of CaliforniaBlue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities. For more news about Blue Shield of California, please visit Or follow us on LinkedIn or Facebook. CONTACT: Mashi Nyssen Blue Shield of California 510-607-2359media@ View original content to download multimedia: SOURCE Blue Shield of California Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
