Washington 2015 Attendee List
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In the Superior Court for King County
Case 2:17-cv-01609 Document 1 Filed 10/30/17 Page 1 of 10 1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 9 10 E.S., by and through her parents, R.S. and J.S., and JODI STERNOFF, both on their own NO. 2:17-cv-1609 11 behalf, and on behalf of all similarly situated 12 individuals, COMPLAINT 13 Plaintiffs, (CLASS ACTION) 14 v. [REDACTED] 15 REGENCE BLUESHIELD; and CAMBIA HEALTH SOLUTIONS, INC., f/k/a THE 16 REGENCE GROUP, 17 Defendants. 18 I. PARTIES 19 1. E.S. Plaintiff E.S. is the six-year-old daughter and dependent of R.S. 20 and J.S. and resides in King County, Washington. E.S. is insured under a Regence 21 BlueShield insured health plan. E.S. is diagnosed with hearing loss. 22 2. Jodi Sternoff. Plaintiff Sternoff is an adult diagnosed with hearing 23 loss who resides in King County, Washington. Sternoff is insured under a Regence 24 BlueShield insured health plan. 25 26 SIRIANNI YOUTZ [REDACTED] SPOONEMORE HAMBURGER COMPLAINT (CLASS ACTION) – 1 701 FIFTH AVENUE, SUITE 2560 SEATTLE, WASHINGTON 98104 TEL. (206) 223-0303 FAX (206) 223-0246 Case 2:17-cv-01609 Document 1 Filed 10/30/17 Page 2 of 10 1 3. Regence BlueShield. Regence BlueShield is an authorized health 2 carrier based in King County and is engaged in the business of insurance in the State of 3 Washington, including King County. Regence BlueShield is a Washington corporation 4 that does business in the State of Washington, including King County. -
Top 25 Employers from Online Ads Washington State and Counties
Top 25 employers from online ads Washington state and counties, March 2018 through June 2018 Source: Employment Security Department/LMPA; The Conference Board, Help Wanted OnLine job announcements Geographic areas Washington state Adams Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson King Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima Employment Security Department is an equal opportunity employer/program. Auxiliary aids and services are available upon reque Language assistance services for limited English proficient individuals are available free of charge. Washington Relay Service: 711 st to individuals with disabilities. 1. Top 25 employers from online ads Return to content Washington state, March 2018 through June 2018 Source: Employment Security Department/LMPA; The Conference Board, Help Wanted OnLine job announcements Rank Employer Number Prior year1 1 State of Washington 5,501 2,820 2 Amazon 5,497 9,279 3 University Of Washington 3,977 4,221 4 Robert Half International 3,291 3,128 5 Microsoft 2,845 2,424 6 Kaiser Permanente 2,721 1,579 7 Providence Health & Services 2,467 5,159 8 Schweitzer Engineering Laboratories 2,221 173 9 Seattle Childrens Hospital & Regional Medical Center 1,776 628 10 The Boeing Company 1,756 148 11 PeaceHealth 1,662 1,592 12 Catholic Health Initiatives 1,476 1,567 13 Randstad 1,459 1,350 14 MulitCare Health System 1,408 4,112 15 Marriott 1,380 351 16 Capital Markets Placement 1,285 6 17 Target Corporation 1,192 32 18 Compass Group 1,182 894 19 Public School Personnel 1,166 912 20 Lowe's 1,151 1,023 21 Virginia Mason Medical Center 1,142 882 22 T-Mobile 1,140 1,744 23 Aerotek 1,133 1,223 24 Children's Hospital 1,102 1,028 25 Heartland Express, Inc. -
Cambia Company Overview
About Cambia Health Solutions Cambia Health Solutions is dedicated to making the health care experience simpler, better and more affordable for people and their families, including the 3.1 million people in the Pacific Northwest enrolled in our regional health plans. Our health plan roots Cambia is deeply rooted in a 100-year legacy of transforming the industry and the way KEY FACTS people experience health care. And we’re committed to delivering a seamless, HEADQUARTERS: personalized health care experience for the next 100 years. PORTLAND, OR We were founded on the idea of neighbor helping neighbor. Whether through our 5,000 • Cambia Health Solutions is working to make health care employees or our countless regional and national partners in the communities we serve, more person-focused and that pioneering spirit is what drives our innovation. economically sustainable. Leading the way • Cambia Health Solutions is a tax-paying not-for-profit with Drawing upon its legacy business, Cambia has pivoted to meet the needs of today’s nearly 5,000 employees in health care consumers. Our six regional health plans, Echo Health Ventures investment 30 states. portfolio, strategic philanthropy with the Cambia Health Foundation and Cambia Grove • Cambia and its employees innovation hub are all united by our Cause—to serve as a catalyst to transform health are nationally recognized: care, creating a person-focused and economically sustainable system. World’s Most Ethical Companies Healthiest 100 Workplaces in America Mogul Top 1,000 Companies Worldwide -
IN the UNITED STATES DISTRICT COURT for the NORTHERN DISTRICT of ALABAMA SOUTHERN DIVISION in RE: BLUE CROSS BLUE SHIELD ) Ma
Case 2:12-cv-02532-RDP Document 263 Filed 11/25/14 Page 1 of 162 FILED 2014 Nov-25 PM 03:40 U.S. DISTRICT COURT N.D. OF ALABAMA IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION IN RE: BLUE CROSS BLUE SHIELD ) Master File No. 2:13-CV-20000-RDP ANTITRUST LITIGATION ) (MDL No. 2406) ) This document relates to: ) THE PROVIDER TRACK _________________________________________ ) Jerry L. Conway, D.C., ) CORRECTED CONSOLIDATED Corey Musselman, M.D., ) SECOND AMENDED PROVIDER The San Antonio Orthopaedic Group, L.L.P., ) COMPLAINT Orthopaedic Surgery Center of San ) Antonio, L.P., ) Charles H. Clark III, M.D., ) Crenshaw Community Hospital, ) Bullock County Hospital, ) Fairhope Cosmetic Dentistry and Fresh ) Breath Center, P.C., ) Sports and Ortho, P.C., ) Kathleen Cain, M.D., ) Northwest Florida Surgery Center, L.L.C., ) Wini Hamilton, D.C., ) North Jackson Pharmacy, Inc., ) Neuromonitoring Services of America, Inc. ) Cason T. Hund, D.M.D., ) ProRehab, P.C., ) Texas Physical Therapy Specialists, L.L.C., ) BreakThrough Physical Therapy, Inc., ) Dunn Physical Therapy, Inc., ) Gaspar Physical Therapy, P.C., ) Timothy H. Hendlin, D.C., ) Greater Brunswick Physical Therapy, P.A., ) Charles Barnwell, D.C., ) Brain and Spine, L.L.C., ) Heritage Medical Partners, L.L.C., ) Judith Kanzic, D.C., ) Brian Roadhouse, D.C., ) Julie McCormick, M.D., L.L.C., ) Harbir Makin, M.D., ) Saket K. Ambasht, M.D., ) John M. Nolte, M.D., ) Bauman Chiropractic Clinic of Northwest ) Florida, P.A., ) Joseph S. Ferezy, D.C. d/b/a Ferezy Clinic of ) Case 2:12-cv-02532-RDP Document 263 Filed 11/25/14 Page 2 of 162 Chiropractic and Neurology, ) Snowden Olwan Psychological Services, ) Ear, Nose & Throat Consultants and Hearing ) Services, P.L.C., ) and ) U.S. -
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By Abraham B. Bergman, MD “To Serve the Greatest Number,” by Walt Crowley A Book Review In the 50 years since its founding, Group Health My parents joined, more for ideological than prag- Cooperative of Puget Sound evolved from a tiny matic reasons and soon faced a dilemma. I came a moment in time bank of outcast physicians and consumer zealots to down with a generalized skin infection, which, in the largest consumer-governed health care organi- an era when antibiotics were not yet readily avail- zation in the United States. The founders pioneered able, was serious business. The concept of con- the concept of prepaid managed care that now, for sumer-owned medical care was attractive, but my better or worse, prevails throughout the land. Se- parents had no idea whether the physicians were attle writer Walt Crowley, with access to a wealth of competent. The Group Health physicians were vili- written records, meeting minutes, and oral histo- fied by their colleagues and were denied member- ries, covers each of those 50 years in painstaking ship in the King County Medical Society. Fortunately fashion in To Serve the Greatest Number, written my parents took the plunge and took me to Group under Group Health auspices (read paid-for), and Health’s first pediatrician, William A. (Sandy) published by University of Washington Press. How MacColl. He not only capably managed my illness, far Group Health has come is illustrated by a de- but through his qualities as a model clinician, hu- scription of the private party in the Columbia Tower manist, and social activist inspired me to seek a Club in 1993 celebrating the “engagement” of Group career in medicine. -
Case: 18-90020 Date Filed: 07/09/2018 Page: 1 of 100
Case: 18-90020 Date Filed: 07/09/2018 Page: 1 of 100 No. 18-90020 UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT ________________ IN RE: BLUE CROSS BLUE SHIELD ANTITRUST LITIGATION (MDL 2406) ________________ BLUE CROSS BLUE SHIELD ASSOCIATION; ANTHEM INC., F/K/A WELLPOINT, INC.; BLUE CROSS BLUE SHIELD OF ALABAMA; HEALTH CARE SERVICE CORPORATION; CALIFORNIA PHYSICIANS’ SERVICE, D/B/A BLUE SHIELD OF CALIFORNIA; PREMERA BLUE CROSS, D/B/A PREMERA BLUE CROSS BLUE SHIELD OF ALASKA; et al., Petitioners, v. JOSEPH D. ACKERSON, (PHD); SAKET K. AMBASHT, M.D.; CHARLES BARNWELL, D.C.; BREAKTHROUGH PHYSICAL THERAPY, INC.; BULLOCK COUNTY HOSPITAL; et al. Respondents. ________________ On Petition from the United States District Court for the Northern District of Alabama, Southern Division, No. 2:13-CV-20000-RDP ________________ MOTION FOR LEAVE TO FILE REPLY IN SUPPORT OF PETITION FOR PERMISSION TO APPEAL UNDER 28 U.S.C. §1292(b) ________________ Paul D. Clement Erin E. Murphy C. Harker Rhodes IV KIRKLAND & ELLIS LLP 655 Fifteenth Street, NW Washington, DC 20005 (202) 879-5000 [email protected] Counsel for Petitioner Blue Cross Blue Shield Association (Additional Petitioners and Counsel Listed on Inside Cover) July 9, 2018 Case: 18-90020 Date Filed: 07/09/2018 Page: 2 of 100 Craig A. Hoover David J. Zott, P.C. E. Desmond Hogan Daniel E. Laytin, P.C. Catherine E. Stetson Sarah J. Donnell Justin W. Bernick Christa C. Cottrell, P.C. HOGAN LOVELLS US LLP Zachary Holmstead Columbia Square KIRKLAND & ELLIS LLP 555 13th Street, N.W. 300 North LaSalle Washington, DC 20004 Chicago, IL 60654 Tel: (202) 637-5600 Tel: (312) 862-2000 Fax: (202) 637-5910 Fax: (312) 862-2200 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Emily M. -
Bluecard ® Program Provider Manual
The BlueCard® Program Provider Manual July 2020 Adapted for: Premera Blue Cross and Premera Blue Cross Blue Shield of Alaska An independent licensee of the Blue Cross Blue Shield Association This information does not constitute, and is not intended as, legal or financial advice. Page: 2 of 63 014206 (07-2020) The BlueCard® Program Provider Manual July 2020 Table of Contents Table of Contents .................................................................................................................................. 2 1. Introduction: BlueCard Program Makes Filing Claims Easy ........................................................ 4 2. What is the BlueCard Program? ................................................................................................... 4 2.1 Definition ........................................................................................................................................... 4 2.2 BlueCard Program Advantages to Providers ..................................................................................... 4 2.3 Products included in BlueCard .......................................................................................................... 5 2.4 Products Excluded from the BlueCard Program ................................................................................ 5 3. How the BlueCard Program Works .............................................................................................. 6 3.1 How to Identify Members .................................................................................................................. -
TRANSFORMING HEALTH CARE Cambia’S Journey to Build a Person-Focused & Sustainable System
TRANSFORMING HEALTH CARE Cambia’s journey to build a person-focused & sustainable system February 2020 This report was prepared by members of Cambia’s Public Affairs & Policy team: Jennifer Danielson Senior Vice President Samantha Slaughter-Mason Senior Health Policy Specialist Ryan Frank Assistant Director, Policy & Political Strategy Jessica Stump Political Affairs Specialist Transforming Health Care // February 2020 TABLE OF CONTENTS INTRODUCTION Jennifer Danielson, Senior Vice President of Public Affairs & Policy 3 OUR ROOTS Cambia’s history & family of companies 5 REIMAGINING OUR ROLE Cambia’s evolving presence in health care 9 SEEDING INNOVATION Cambia’s culture of innovation 11 ADVANCING INNOVATIVE SOLUTIONS Cambia’s health care solutions & priorities 17 PARTNERING FOR CHANGE Cambia’s collaborations & partnerships for change 25 1 Transforming Health Care // February 2020 OUR CAUSE SERVE AS A CATALYST TO TRANSFORM HEALTH CARE, CREATING A PERSON-FOCUSED AND ECONOMICALLY SUSTAINABLE SYSTEM Jennifer Danielson Senior Vice President, Public Affairs & Policy AT CAMBIA HEALTH SOLUTIONS, WE ARE ON A MISSION TO MAKE HEALTH CARE MORE ACCESSIBLE, INTEGRATED, AND PERSONAL 100-Year-Old Startup Public Policy Partnerships We began serving our communities, neighbors, and families We believe that developing relationships with those who share more than a century ago through our regional health plans. our values and beliefs is essential in driving sustainable change As consumers’ needs and the technologies that guided their in health care through public policy. That’s why we have served lives evolved into the 2000s, our company has evolved with as founding members of the CARIN Alliance and the Da Vinci them. Today, Cambia Health Solutions is a family of more than Project and partnered with CMS on its BlueButton 2.0 initiative. -
Healthier Washington
HEALTHIER WASHINGTON Better Health, Better Care, Lower Costs Source: veer.com Source: veer.com Contents Letter of Endorsement from Governor Inslee Project Abstract I) PROJECT NARRATIVE Introduction ........................................................................................................... 1 Plan for Improving Population Health ................................................................. 2 Health Care Delivery System Transformation Plan ............................................. 3 Payment and Service Delivery Model .................................................................. 10 Model Test 1: Early-Adopter of Medicaid Integration ................................. 11 Model Test 2: Encounter-based to Value-based ........................................... 11 Model Test 3: Puget Sound PEB and Multi-Purchaser ................................. 12 Model Test 4: Greater Washington Multi-Payer .......................................... 12 Leveraging Regulatory Authority ......................................................................... 14 Health Information Technology .......................................................................... 15 Enhance Health Information Exchange........................................................ 16 Improve Analytic Capacity and Governance ............................................... 16 Visualize Health in Communities .................................................................. 18 Stakeholder Engagement .................................................................................... -
About Cambia Health Solutions
About Cambia Health Solutions Cambia Health Solutions is dedicated to making the health care experience simpler, better and more affordable for people and their families, including the 3.1 million people in the Pacific Northwest enrolled in our regional health plans. Our health plan roots Cambia is deeply rooted in a 100-year legacy of transforming the industry and the way KEY FACTS people experience health care. And we’re committed to delivering a seamless, HEADQUARTERS: personalized health care experience for the next 100 years. PORTLAND, OR We were founded on the idea of neighbor helping neighbor. Whether through our 5,000 • Cambia Health Solutions is a group of 20+ companies and employees or our countless regional and national partners in the communities we serve, people working to make health that pioneering spirit is what drives our innovation. care more person-focused and economically sustainable. Leading the way • Cambia Health Solutions is a Drawing upon its legacy business, Cambia has pivoted to meet the needs of today’s tax-paying not-for-profit with health care consumers. Our six regional health plans, Echo Health Ventures investment nearly 5,000 employees in portfolio, strategic philanthropy with the Cambia Health Foundation and Cambia Grove 30 states. innovation hub are all united by our Cause—to serve as a catalyst to transform health • Cambia and its employees care, creating a person-focused and economically sustainable system. are nationally recognized: World’s Most Ethical Companies Healthiest 100 Workplaces in America -
Success Story
Success Story Company Overview Regence serves approximately 2.5 million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (select counties in Washington). Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Regence is part of the Cambia Health Solutions family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. Challenge Industry Health Insurance In 2013, Regence experienced unprecedented growth in its group business. This also came with an unprecedented Regence Membership volume of files to process into its membership system, which 2.5 million now had to support up to 250,000 subscriber records per month. Regence’s staff was loading entire files from their Solution groups’ various enrollment systems just to query for any Benefitplace™ Exchange changes. Then any errors – which averaged 5,000 per month – would be sent to the membership team to manually Results update. The volume was quickly becoming too much for • Reduced nightly file processing volume by 70% Regence’s current staffing model to support, and it left little • 35% decrease in errors room to onboard new groups. • 36-month payback period Solution Regence selected Benefitfocus Benefitplace Exchange to increase efficiency, improve data quality and enable growth “Without Benefitplace of its health plan business. Within 36 months, Regence achieved positive ROI as a result of implementing the Exchange, we wouldn’t automated file processing solution. have been able to make Efficiency the improvements we With Exchange, Regence now receives change-only files needed in order to grow for its membership system, which has reduced its monthly our business.” processing volume by 70 percent. -
Shared Deductible Copy Plan Amazon Benefit Booklet
Amazon and Subsidiaries Summary Plan Description for the Shared Deductible Copay Plan Administered by Premera Blue Cross As Restated Effective April 1, 2020 INTRODUCTION This plan is self-funded by Amazon and Subsidiaries (“the Group”), which means that the Group is financially responsible for the payment of plan benefits. The Group has the final discretionary authority to determine eligibility for benefits and construe the terms of the plan. Premera Blue Cross, an Independent Licensee of the Blue Cross Blue Shield Association, processes claims and performs other administrative duties. Premera Blue Cross has been delegated the discretionary authority to determine claims for benefits and to construe the terms of the Plan to the extent necessary perform its services. Premera Blue Cross doesn’t insure the Plan. In this Summary Plan Description, Premera Blue Cross is called the “Claims Administrator.” This Summary Plan Description replaces any other health plan benefit booklet or Summary Plan Description you may have for the Plan. The terms and conditions of the Plan (administered by Premera Blue Cross) are set forth in this Summary Plan Description and the formal Plan Document. This Summary Plan Description is incorporated by reference into the formal Plan Document. Together, they constitute the written instruments under which the Plan is established and maintained. An amendment to one of these documents constitutes an amendment to the Plan. If there is a conflict between the Plan Document and this Summary Plan Description, the Plan Document controls. The Plan has been established with the intent of being maintained for an indefinite period of time. Nonetheless, Amazon.com Services, LLC may amend or terminate the Plan at any time, to any extent and in any manner it may deem necessary and appropriate.