business

California insurer drops health plan-acquired IPA

NEWS IN BRIEF — Posted Nov. 14, 2011

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Blue Shield of California is shunning a large independent practice association over its pending acquisition by a for-profit company.

Monarch HealthCare, which has 2,300 physician members in Southern California, turned over the IPA's management to UnitedHealth Group subsidiary Optum during the summer. Now Blue Shield of California, one of the state's largest insurers with 3.3 million members, has said it won't contract with Monarch.

"The issue is simply that if Monarch is acquired by United, we would be contributing to United's bottom line," Blue Shield spokesman Steve Shivinsky said in an emailed statement. "Blue Shield of California is a not-for-profit dedicated to providing affordable health care to all Californians. Therefore, it is unacceptable that we would contribute to a for-profit competitor's shareholders."

Shivinsky said Blue Shield would continue working with Monarch through the end of 2011.

In response to questions about Blue Shield's move, Monarch's CEO, Bart Asner, MD, said in a statement, "Our partnership with Optum is about enabling Monarch physicians to do what they do today even better: provide exceptional, cost-effective care to the patients they serve."

Optum's acquisition is not yet finalized, but Optum spokesman Brian Kane said state regulatory approval "is proceeding on a timely basis."

Note: This item originally appeared at http://www.ama-assn.org/amednews/2011/11/14/bibf1114.htm.

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

■ Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

■ American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

■ Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

■ The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

■ The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

■ Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

■ Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

■ When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn