Don’t submit referrals for members with BCN point-of-service plans. POS health plan referrals cannot be submitted via 3-referral Blue Care Network POS health plans don’t require referrals. Beginning April 1, 2024, the e–referral system will reject all referrals submitted for BCN POS health plans. Blue Care Network point-of-service health care plans allow members to receive…
Read MoreIn February 2024, the Supreme Court of the United States clarified the standard for proving causation under the whistleblower protection provision of the Sarbanes-Oxley Act. This ruling eases the burden of proof that employees must meet to achieve protection under the Act. Previously, employees were required to show that their employer acted against them with “retaliatory intent.” However,…
Read MoreA federal judge has denied HCA Healthcare’s motion to dismiss antitrust litigation brought by North Carolina cities and counties related to the for-profit’s 2019 acquisition of Mission Health. The ruling, signed Wednesday, February 21, 2024, relates to consolidated class-action complaints filed in 2022 by the city of Brevard, Buncombe County, the city of Asheville, and…
Read More