June 2019

ASH Blue Shield of CA Update Blue Shield of CA will begin to utilize ASH for a “significant” number of their PPO plans January 1, 2020. But the use of “significant number” is not clear as to what plans they are indicating is it more than 50% less than etc. Read more…

1. It is not all BS plans but specific PPO plans only. Note several plans currently do this but ASH is just the gatekeeper for medical necessity and does not follow ASH rates. 2. These plans will still have out of network benefits but clearly an incentive for patients to Read more…