Regence BlueCross BlueShield

Jim Walton Rejoins Regence

He’ll become vice president of sales in early June

Jim Walton is returning to Regence BlueCross BlueShield in early June, after leaving the health plan to become the chief operating officer and vice president at KPD Insurance, a brokerage firm in Eugene, a position he held since January.

ZoomCare Snags New Seasons Market – Could Other Employers Be Far Behind?

Open enrollment ended last Friday, and the employees at New Seasons were given a choice of ZoomCare or Regence BlueCross BlueShield.

The news that ZoomCare has captured New Seasons Market came as no surprise to onlookers because the same equity firm that filtered millions of dollars into ZoomCare’s pockets has also heavily invested in New Seasons – Endeavor Capital.

OMIP Offers Regence BlueCross BlueShield $2.1 Million Agreement

Regence would have to deduct the cost of reconciling the books for its last-minute request to be paid for claims as old as 2010 to get money from a federal high-risk account that dissolves at the end of the year.

The Oregon Medical Insurance Pool has agreed to pay $2.1 million to Regence BlueCross BlueShield to resolve outstanding claims the insurance company says it’s owed for administering the Federal Medical Insurance Pool.

OMIP Sets Reinsurance Tax for 2014 at About $46 Per Person

The high-risk pool is charged with operating a state reinsurance program that is intended to spread the risk and soften the blow to insurance companies that have consumers with high medical claims. The $46 per person assessment annually to health insurance policies will be used to reimburse insurers for former OMIP consumers who run up bills of more than $30,000.

The Oregon Medical Insurance Program board voted unanimously Monday to set the assessment on health insurance plans to fund its reinsurance program at $3.859 per person  per month, which will bring in just under $72 million for 2014.

Regence Claims It's Been Underpaid $10 Million by High-Risk Pool

A large portion of the remaining account balance of the Oregon Medical Insurance Pool may end up in the pockets of Regence BlueCross BlueShield after the insurer alleged in a letter that accounting errors had shorted the company for expenses paid as it administered the program. OMIP chairman Robin Richardson has indicated he’d like a third-party audit to verify the account transactions.

The Oregon Medical Insurance Pool may have to pay Regence BlueCross BlueShield $10 million more than it expected after the insurer informed the OMIP board late last month about a number of previously unseen accounting di


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