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Broker News

Blue Shield of California‘s Provider Network Update On UCLA

Blue Shield of California is currently in discussions with Ronald Reagan UCLA Medical Center and Santa Monica UCLA Medical Center (UCLA Medical Center), and UCLA Medical Group (includes UCLA Medical Group-Santa Monica Bay Physicians (SMBP) and UCLA Medical Group), all located in Los Angeles County, to renegotiate the terms of our HMO/PPO hospital agreements and medical group agreements for PPO and Medicare plans. If we are unable to reach an agreement, the contracts are scheduled to terminate effective 12:01 a.m. on January 1, 2012.

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Broker News

Institute of Medicine Issues Recommendations

On October 7, 2011, the Institute of Medicine (IOM) publicly issued its highly anticipated “essential health benefits” (EHB) policy principles to the Department of Health and Human Services (HHS). Among the proposals included in the 297-page report, the IOM recommended that the package of “essential health benefits” be based upon a typical small employer plan in today’s market and linked to the national average premium cost of a “silver” level plan in the Exchange.

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