Newsroom | DMHC Press Releases and Newsletters



DMHC Fines Anthem Blue Cross $690,000 for Delaying Reimbursements to Providers & Members

January 4, 2024

The DMHC has taken enforcement action against Blue Cross of California (Anthem Blue Cross) including a $690,000 fine for failing to timely reimburse providers and health plan members for services provided. The plan has paid the fine and implemented several corrective actions, including improving its policies and procedures involving Independent Medical Review decisions.

Read January 4, 2024 Press Release


DMHC Reports Health Plan Prescription Drug Costs Increased by $1.3 Billion in 2022

December 26, 2023

The DMHC Prescription Drug Cost Transparency Report for Measurement Year 2022 looks at the impact of the cost of prescription drugs on health plan premiums and compares this data across the reporting years, 2017 through 2022. Among other findings, the report reveals that health plan spending on prescription drugs increased by $3.4 billion since 2017, including an increase of almost $1.3 billion in 2022.

Read December 26, 2023 Press Release


DMHC Fines Blue Shield of California $200,000 for Mishandling Provider Claims

December 13, 2023

The DMHC took an enforcement action against California Physicians’ Service (Blue Shield of California), including a $200,000 fine for mishandling provider claims which resulted in a health plan member not getting the care they needed. The plan has paid the fine and implemented corrective actions, including updating its claim processing procedures to ensure claims are processed correctly.

Read December 13, 2023 Press Release



Media Relations Contact

Mailing Address:
California Department of Managed Health Care
980 9th Street, Suite 500
Sacramento, CA 95814-2725

 (916) 445-7442



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