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American Medical News

 
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News in brief - Oct. 15, 2001


Judge blocks data release - Sutter sues Health Net - Anthem asked to sign pledge

Judge blocks data release

A judge for the California Superior Court in Sacramento County on Sept. 26 issued an injunction blocking the state Dept. of Managed Health Care's release of medical group financial information.

The judge ruled that disclosure of the information, which the state agency was scheduled to release on Oct. 1, was contrary to the intent of a state law designed to flag medical groups at risk of insolvency. The California Medical Assn. filed a lawsuit on Sept. 5 to prohibit the state agency from releasing the financial data, which the CMA contends go beyond the intent of the law and will hurt medical groups during their negotiations with health plans.

The judge scheduled the trial for Nov. 30.

Sutter sues Health Net

Sutter Health filed a $6.6 million lawsuit on Aug. 30 against Woodland Hills, Calif.-based Health Net.

The lawsuit, filed in the California Superior Court in Sacramento County, alleges that Health Net owes Sutter, a health system with medical groups and hospitals throughout northern California, millions of dollars for patient care that Sutter Health facilities provided to Health Net patients between May and September.

The health system and the 2.2 million member HMO are currently in contract negotiations. The amount named in the lawsuit is the amount between the discounted rates that Health Net paid under its contract, which expired May 1, and the full charges of hospitals in Sutter's network.

Anthem asked to sign pledge

Several consumer groups sent a letter Sept. 25 to Anthem Blue Cross Blue Shield asking the company to sign a pledge of corporate responsibility as it converts from a mutual to a for-profit health insurer.

The consumer groups, including Consumers Union and Community Catalyst, asked Anthem, among other things, to make a commitment to maintain adequate physician networks, include community representatives on Anthem's boards, require public input when changing health benefits and offer health care products for vulnerable populations.

Indianapolis-based Anthem owns Blue Cross Blue Shield plans in Colorado, Connecticut, Indiana, Kentucky, Maine, Nevada and Ohio. It is in the process of merging with Blue Cross Blue Shield of Kansas.

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Copyright 2001 American Medical Association. All rights reserved.
 
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