Health Net, LLC , a subsidiary of Centene , is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid , as well as commercial, small business, and affordable care insurance .
45-616: In 2016, Centene acquired Health Net for $ 6.8 billion. Health Net was established as the nonprofit Health Net of California in 1977 by Blue Cross . In 1992, a California order permitted the company to convert from a nonprofit to a for-profit company. Under the terms of the California Department of Corporations ' conversion order, the California Wellness Foundation, the successor charity to its nonprofit status, received $ 300 million plus 80 percent of
90-730: A company called Debix to affected customers. In November 2010, the Centers for Medicare and Medicaid Services (CMS) suspended Health Net for marketing and enrolling new members for compliance issues. The sanctions were lifted in August 2011. In January 2012, the company agreed to sell its Medicare Prescription Drug Plan (PDP) business to CVS Caremark Corp. (CVS) for approximately $ 160 million in cash. Health Net continued to providing prescription drug plans as part of its Medicare Advantage plans. On July 2, 2015, Centene Corporation announced it would acquire Health Net for $ 6.8 billion. The acquisition
135-476: A height of 1,136 feet (346 m), it is the fourth-tallest building in Chicago , surpassed in height by Willis Tower , Trump International Hotel and Tower , and St Regis Chicago . The building is managed by Jones Lang LaSalle , which is also headquartered in the building. Aon Center houses the headquarters of Aon , Blue Cross Blue Shield Association , and Kraft Heinz (BCBS and Kraft Heinz each have
180-478: A joint marketing agreement with Highmark Blue Shield in Pittsburgh for their separate hospital and medical plans. However, Independence Blue Cross, like most of its sister Blue Cross Blue Shield companies, cover most of their customers under managed care plans such as HMOs and PPOs which provide hospital and medical care in one policy. Blue Cross & Blue Shield of Rhode Island was founded in 1939. The insurer
225-460: A mutual insurance company, with the name again changed, to Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company. During 2022, BCBS and University of Mississippi Medical Center (UMMC) network entered conflict over who is to blame for an increasing lack of covered care in the state. Media reported that UMMC had paid close to $ 279,000 for digital advertising, commercials, and billboards to attack BCBS, which, in subsequent months, sued
270-1036: A partnership with Cambia Health , but cancelled the agreement later that year. Dr. Patrick H. Conway , who had served as CEO from 2017, was scheduled to become CEO of the merged company, replacing retiring Cambia CEO Mark Ganz, but resigned after a DWI arrest in June 2019, putting the merger on hold. Though historically "Blue Cross" was used for hospital coverage while "Blue Shield" was used for medical coverage, today that split only exists for traditional health insurance plans in Pennsylvania . Two independent companies operate in central Pennsylvania, Highmark Blue Shield in Pittsburgh and Capital Blue Cross in Central Pennsylvania. In southeastern Pennsylvania, Independence Blue Cross in Philadelphia has
315-577: A publicly traded company. In 2021, Health Net's former subsidiary, Health Net Federal Services, agreed to pay $ 97M to settle allegations that it had duplicated or inflated claims submitted to the Department of Veterans Affairs between 2013 and 2019. Blue Cross Blue Shield Association Blue Cross Blue Shield Association , also known as BCBS , BCBSA , or The Blues , is a United States –based federation with 33 independent and locally-operated BCBSA companies that provide health insurance in
360-475: A second headquarters, located in D.C. and Pittsburgh respectively); the building formerly served as the world headquarters of Amoco prior to its merger into BP . The building was briefly the tallest in Chicago, but was soon surpassed by the Sears Tower . It was the fourth-tallest building in the world at the time of its completion. The Standard Oil Building was constructed as the headquarters of
405-602: Is a non-profit health insurance company headquartered in Rochester, New York . It is part of the Blue Cross Blue Shield Association. In 2010, Excellus was Upstate New York 's largest nonprofit health plan. In 2001, Excellus merged with Univera Healthcare , (formerly North AmeriCare ), based in Buffalo, New York . Univera retained its name and is separate from Excellus BCBS. Excellus
450-688: Is a name used by an association of health insurance plans throughout the United States . Its predecessor was developed by Justin Ford Kimball in 1929, while he was vice president of Baylor University 's health care facilities in Dallas, Texas . The first plan guaranteed teachers 21 days of hospital care for $ 6 a year, and was later extended to other employee groups in Dallas, and then nationally. The American Hospital Association (AHA) adopted
495-519: Is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. It donated $ 1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. In August 2022, more than 12,000 members of Arkansas Blue Cross were affected by a ransomware attack on a former affiliate, North Highland Company, LLC. Blue Cross of Idaho and Regence BlueShield Idaho are separate companies and compete throughout
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#1732775646301540-693: Is headquartered in Providence, Rhode Island . BlueCross BlueShield of the U.S. Virgin Islands is administered by BlueCross BlueShield of Puerto Rico. Blue Cross Blue Shield of Wyoming (BCBSWY) is a non-profit founded in 1945. In 2022, BCBSWY penned opposition to the Pharmacy benefit managers act enhancements (Wyoming Senate File 0036). While only some members retain nonprofit status, the ones that do have been criticized for holding excessive amounts of cash or excessive executive compensation. For instance,
585-527: The Aon Corporation would not become the building's primary tenant until September 2001. In May 2003, Wells Real Estate Investment Trust, Inc. acquired the building for between $ 465 and $ 475 million. On August 10, 2007, Wells Real Estate Investment Trust, Inc. changed its name to Piedmont Office Realty Trust, Inc.) Real estate investors Mark Karasick and Victor Gerstein acquired the building from Piedmont in 2015 for $ 713 million. On May 14, 2018,
630-577: The Blue Cross and Blue Shield Association (BCBS). Prior to 1986, organizations administering BCBS were tax exempt under 501(c) (4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance. They became 501(m) organizations, subject to federal taxation, but entitled to "special tax benefits" under IRC 833. In 1994, BCBS changed to allow its licensees to be for-profit corporations. During 2010, Health Care Service Corporation ,
675-472: The Chicago Loop area of Chicago, Illinois. Single-state members include the following organizations. Blue Cross Blue Shield of Arizona (BCBSAZ) is a non-profit healthcare organization founded in 1939. BCBSAZ partners with non-profit "Discovery Triangle Development Corporation" to launch a Farm Express mobile market (formerly Fresh Express). Founded in 1948, Arkansas Blue Cross Blue Shield (ABCBS)
720-662: The Empire State Building in New York City . Originally clad in marble , the Aon Center was also the tallest marble-clad building in the world. The building employs a tubular steel-framed structural system with V-shaped perimeter columns to resist earthquakes , reduce sway, minimize column bending, and maximize column-free space. This construction method was also used for the original World Trade Center twin towers in New York City . When completed, it
765-584: The Federal Employees Health Benefits Program (FEHB) for U.S. federal government employees and retirees, and has been part of FEHB since FEHB's inception in 1960. FEP enrolls over half of the federal workforce, with over 5 million members, making it the largest insurer of federal employees and the largest single health plan group in the world. The association is headquartered in the Michigan Plaza complex in
810-564: The Standard Oil Company of Indiana . Standard's previous home had been 910 S. Michigan Avenue. This building was constructed in 1911 by the Karpen Brothers Furniture Company and was purchased by Standard in 1927. When the new Standard Oil Building was completed in 1973, it was the tallest completed building in Chicago and the fourth-tallest in the world, earning it the nickname "Big Stan". In 1974,
855-538: The United States federal government . BCBSA manages communications between its members and the operating policies required to be a licensee of the trademarks. This permits each BCBSA company to offer nationwide insurance coverage through its BlueCard provider network and claims reimbursement program even though it operates only in its designated service area. Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services. Blue Cross
900-559: The Blue Cross and Blue Shield trademarks and names across the United States and in more than 170 other countries, which it then licenses to the affiliated companies for specific, exclusive geographic service areas. It has affiliated plans in all 50 states, Washington, D.C., and Puerto Rico , and licensees offering plans in several foreign countries; it also participates in the nationwide health insurance program for employees of
945-612: The Blue Cross symbol in 1939 as the emblem for plans meeting certain standards. In 1960, the AHA commission was superseded by the Blue Cross Association. Blue Cross severed its ties with the AHA in 1972. Blue Shield was developed by employers in lumber and mining camps of the Pacific Northwest to provide medical care by paying monthly fees to medical service bureaus composed of groups of physicians. In 1939,
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#1732775646301990-549: The CEO of BCBS Michigan, Daniel Loepp, earned over 19 million USD in 2018, more than the CEO of Ford or Fiat Chrysler during the same year. In 2014, BC/BS of Illinois ( Health Care Service Corporation ) was sued over its nonprofit status. The lawsuit was dismissed, with prejudice , and the dismissal ruling was upheld on appeal. Similar suits occurred with similar results in other states such as Oregon. Conversions into for-profit corporations typically results in distribution of some of
1035-652: The Los Angeles County Medical Association and two patients sued Health Net for denying medically necessary treatment, including cancer care. The lawsuit alleged that Health Net denied claims based on its own definition of "medical necessity" rather than standards set forth by California law. A judge ruled in Health Net's favor in July 2013. In 2016, Health Net Federal Services became a wholly-owned subsidiary of Centene, ending its time as
1080-522: The North and South tower of the former World Trade Center Complex due to the upward flow of the columns. The Standard Oil Building was renamed the Amoco Building when the company changed names in 1985. In 1998, Amoco sold the building to The Blackstone Group for an undisclosed amount, estimated to be between $ 430 and $ 440 million. It was renamed as the Aon Center on December 30, 1999, although
1125-568: The United States District Court, Western District of Louisiana ruled that "Because Salim showed that PBT was a nationally accepted standard of care for advanced head and neck cancer in 2018, BCBSLA abused its discretion in finding Salim's PBT treatment was not medically necessary." A Propublica investigation found that Blue Cross and Blue Shield of Louisiana used guidelines from an outside company called AIM Specialty Health to reject appeals for denial, and that this practice
1170-623: The United States to more than 115 million people as of 2022. It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, and Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948. Its headquarters are at the Aon Center at 200 E. Randolph Street in Chicago , Illinois . BCBSA claims to control access to
1215-525: The assets into a charitable foundation . When Blue Cross of California was converted, it initially had no distribution, but subsequently The California Endowment and California Health Care Foundation were endowed with $ 3.2 billion. Proceeds ranged from $ 3.2 billion (California) to $ 1.5 million (Nevada). An exceptional case occurred in the Empire Blue Cross conversion, where the proceeds went to fund wage increases for union workers. In 2022,
1260-417: The association and traditionally of each other, offering insurance plans within defined regions under one or both of the association's brands. Blue Cross Blue Shield insurers offer some form of health insurance coverage in every U.S. state . They also act as administrators of Medicare in many states or regions of the U.S. The Blue Cross Blue Shield Federal Employee Program (FEP) is a nationwide option under
1305-507: The company started trading on the New York Stock Exchange under the symbol HNT. In July 2009, UnitedHealth Group bought Health Net's northeastern licensed subsidiaries for $ 510 million, and its Medicare and Medicaid businesses for $ 60 million. In November 2009, Connecticut 's attorney general office investigated a lost, unencrypted hard drive with customer data. Health Net offered two years of free credit protection from
1350-729: The discarded marble was crushed and used as landscaping decoration at Amoco's refinery in Whiting, Indiana , one-sixth was donated to Governors State University , in University Park , and one-sixth donated to Regalo, a division of Lashcon Inc. Under a grant from the Illinois Department of Rehabilitative Services, Regalo's 25 handicapped workers carved the discarded marble into a variety of specialty items such as corporate gifts and mementos including desk clocks and pen holders. The building's facade somewhat resembles that of
1395-445: The equity of Health Net's parent holding company. In August 1993, Health Net merged with Qualmed to form Health Systems International. In April 1997, Health Systems International merged with Foundation Health Corporation to form Foundation Health Systems. Also in 1997, Foundation Health Systems acquired PACC Health Plans and Physicians Health Services. In November 2000, Foundation Health Systems changed its name to Health Net, Inc. when
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1440-637: The first official Blue Shield plan was founded in California. In 1948, the symbol was informally adopted by nine plans called the Associated Medical Care Plan, and was later renamed the National Association of Blue Shield Plans. In the 1960s, the U.S. government chose to partner with Blue Cross and Blue Shield companies to administer Medicare . In 1982, Blue Shield merged with The Blue Cross Association to form
1485-470: The group of 34 companies that make up the BCBS Association settled an antitrust investigation by allowing competition among member companies under non-Blue names while retaining regional exclusivity for regional licenses. In 2018 Robert Salim was diagnosed with stage 4 throat cancer, however the proton therapy ordered by his doctor was denied by Blue Cross Blue Shield. Salim sued. In July 2022
1530-405: The hospital for defamation. Blue Cross Blue Shield of Nebraska was founded in 1939. On July 1, 2018, BCBS Nebraska formed GoodLife Partners Inc., a mutual holding company, to conduct its noninsurance businesses. The company retained the Blue Cross brand, converting from mutual ownership to a stock company wholly owned by GoodLife. Excellus BlueCross BlueShield ( Excellus BCBS , or Excellus )
1575-424: The marble cladding of the building. To alleviate the problem, stainless steel straps were added to hold the marble in place. Later, from 1990 to 1992, the entire building was refaced with Mount Airy white granite at an estimated cost of over $ 80 million. Amoco was reluctant to divulge the actual amount, but it was well over half the original price of the building, without adjustment for inflation. Two-thirds of
1620-615: The parent company of BCBS in Texas, Oklahoma, New Mexico, Montana and Illinois, nearly doubled its income to $ 1.09 billion in 2010, and began four years of billion-dollar profits. In the final spending bill for FY 2015 after much lobbying since 2010, nonprofit Blue Cross and Blue Shield plans continue to have special tax breaks that were understood to be threatened by the Affordable Care Act of 2010. Blue Cross and Blue Shield insurance companies are licensees , independent of
1665-587: The state. Blue Cross and Blue Shield of Kansas (BCBSKS) was founded in 1942 by Sam Bartham, later becoming an independent licensee of the Blue Cross Blue Shield Association. Blue Cross Blue Shield of Louisiana is a tax-paying non-profit that was founded in 1934 in New Orleans . An independent licensee of the BCBSA, it is a privately held mutual company without shareholders, which is wholly owned by its policyholders. Blue Cross Blue Shield of Minnesota (BCBSMN)
1710-515: The taller Sears Tower (now Willis Tower) in Chicago surpassed it as the tallest completed building in Chicago (the Sears Tower was also the tallest in the world). However, the Sears Tower had already been topped out in May 1973. When the Aon Center opened as the fourth-tallest completed building in the world, it was only exceeded in height by the twin towers of the original World Trade Center and
1755-402: Was appointed CEO of Health Net in California, leading operations in that state. In 2007, a California patient sued Health Net claiming that the company wrongfully terminated her care during chemotherapy treatments. During the case, a company employee performance review revealed that a manager had tied bonuses for an analyst in charge of rescission reviews to the rate of enrollees whose coverage
1800-700: Was completed in March 2016 and combined headquarters were established in St. Louis, Missouri. The acquisition resulted in Health Net Federal Services (HNFS) becoming a separate subsidiary of Centene. In 2018, Health Net in Arizona was merged into other Centene holdings to form Arizona Complete Health, and Martha Smith was named as its Plan President and CEO. Separately, in September 2019, Brian Ternan
1845-549: Was discontinued. Health Net claimed that the patient withheld health information, including a heart problem, that would have disqualified her from coverage. She replied that the insurance broker had filled out the form for her. In February 2008, the court ruled in Bates' favor and ordered Health Net to over $ 9 million in damages. In 2008, Health Net agreed to pay $ 215M to settle allegations that it had unfairly reimbursed out-of-network providers between 1995 and 2007. In September 2012,
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1890-404: Was founded in 1933, with 3,500 employees reported in 2022. Blue Cross Blue Shield of Mississippi (BCBSMS) was formed as a privately held company in 1954. In 1948, it was converted to a non-profit. In 1973, its name was changed from Mississippi Hospital and Medical Service to Blue Cross & Blue Shield of Mississippi, Inc., which, in 1996, was converted from a non-profit membership corporation to
1935-808: Was the target of a cyberattack in 2015, in which 10.5 million records were hacked, and cost the company 17.5 million dollars. The company's Blue Cross Blue Shield subsidiaries have been known as: By September 2010, BCBS licensee Blue Cross and Blue Shield of North Carolina announced that it would refund $ 156 million to their policyholders following documented charges: they had been sued and fined for denying due medical treatments to their customers and for underpaying doctors. As of 2019 they were overseeing well over half of all payments for medical services in their state. BCBSNC invests in chronic and underlying condition research, telehealth and artificial intelligence (AI) for digital healthcare . In 2019, Blue Cross and Blue Shield of North Carolina agreed to enter into
1980-435: Was the world's tallest marble -clad building, sheathed entirely with 43,000 slabs of Italian Carrara marble . The marble used was thinner than previously attempted in cladding a building, which soon proved to be a mistake. On December 25, 1973, during construction a 350-pound marble slab detached from the façade and penetrated the roof of the nearby Prudential Center . In 1985, inspection found numerous cracks and bowing in
2025-570: Was widespread. Aon Center (Chicago) The Aon Center (200 East Randolph Street , formerly Amoco Building ) is a modern supertall skyscraper located in the Northeast corner of the Chicago Loop , Chicago , Illinois , United States, designed by architect firms Edward Durell Stone and The Perkins and Will partnership, and completed in 1973 as the Standard Oil Building (nicknamed "Big Stan"). With 83 floors and
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