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Salesforce and Blue Shield of California have co-created an AI system they say will not automatically deny care claims for patients. ... health records or request prior authorization approvals ...
Blue Shield of California is a mutual benefit corporation and health plan [6] [7] founded in 1939 by the California Medical Association. It is based in Oakland, California, and serves 4.5 million health plan members and more than 65,000 physicians across the state. Blue Shield of California was founded as a not-for-profit organization.
Critics of managed care argue that "for-profit" managed care has been an unsuccessful health policy, as it has contributed to higher health care costs (25–33% higher overhead at some of the largest HMOs), increased the number of uninsured citizens, driven away health care providers, and applied downward pressure on quality (worse scores on 14 ...
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As part of an ongoing trend towards consumer-driven healthcare, websites or apps which provide more information on health care quality and price to help patients choose their providers have grown. [42] As of 2017, the sites with the most number of reviews in descending order included Healthgrades, Vitals.com, and RateMDs.com. [43]
L.A. Care is governed by a 13-member stakeholder Board of Governors representing consumers, community clinics, physicians, hospitals, federally-qualified health centers, children's health care providers, and the Los Angeles County Department of Health Services. Two of the seats are held by consumers who are elected by L.A. Care enrollees.