Government Correction please If I doing right
Fernando 2
Sheehan Fernando
Professor
Government
Current Event Report: Anthem Blue Cross Violations
Anthem Blue Cross is a health insurance company in California. The insurance company has been fined $5 for ignoring complains from their customers. Anthem Blue Cross has been violating grievances and policies of their customer for almost 14years. Therefore, they should be held liable for failing and not adhering to State Law of an insurer. According to state law, insurer should respond to complains within 30 days in case the health of the customer is more affected or in danger. The company was found guilty for failing to respond to customers’ complains and violation of policies. The company has violated 2,102 grievances for their customers from 2002 to 2016. Insurer was fined $5.9 which was based on Complaints Hotline for Managed Health Care. The customers waited for their cases to be resolved by the company but it did not respond. The State proved a situation whereby the company denied a surgery claim for their customer who was in critical condition. In most situation, Anthem Blue Cross respond to claims after those who regulate have stepped in to help customers.
According to director of health department Shelley Rouillard, other insurers may fail to comply within 30 days but Anthem Blue Cross Was Ranked the worst for offending their clients. It was found that Anthem ignores the claim for their customers and this has affected the relationship of the company and their customers. The Management of Health Care urges the insurance company to take corrective measures in order to restore their good status. There is a significant improvement of how the company respond to claims compared to the past. The company is taking the responsibility to correct the action and come up with new policies for the company. This issue relate to the topic of current event report because the case is ongoing. The state is carrying more investigation on relationship between customers and the company. How they respond to grievances is also being monitored to ensure corrective actions are taken. In the state, the issue is being discussed to come with the best solution for Anthem Blue Cross
Work Cited
National public radio (89.3FM); https://www.scpr.org/news/2017/11/15/77793/state-fines-anthem-blue-cross-5m-for-ignoring-cust/