Blue Shield of California Coverage - MedCity News https://medcitynews.com/tag/blue-shield-of-california/ Healthcare technology news, life science current events Thu, 30 Apr 2026 23:28:05 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.5 Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs https://medcitynews.com/2026/04/healthcare-exec-moves-layoffs/ https://medcitynews.com/2026/04/healthcare-exec-moves-layoffs/#respond Thu, 30 Apr 2026 23:28:04 +0000 https://medcitynews.com/?p=146837 healthcare moves medcity

April has seen a slew of executive hires, promotions and layoffs across the healthcare industry. For instance, Aledade, Humana and Zimmer Biomet named new executives. There were also layoffs at organizations including Baylor Scott & White Health Plan, Novo Nordisk and UnityPoint Health.

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Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs https://medcitynews.com/2026/03/moves-executives-healthcare-executive-layoffs/ https://medcitynews.com/2026/03/moves-executives-healthcare-executive-layoffs/#respond Wed, 01 Apr 2026 01:44:21 +0000 https://medcitynews.com/?p=145978 healthcare moves

March has seen a slew of executive hires, exits and layoffs across the healthcare industry. For instance, Flare Capital Partners, SCAN Group and Advocate Health named new executives. There were also layoffs at organizations including Oracle, Takeda and Blue Shield of California.

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Blue Shield of California Plan Introduces Initiative to Support Expecting Parents https://medcitynews.com/2025/11/blue-shield-california-parents-baby/ https://medcitynews.com/2025/11/blue-shield-california-parents-baby/#respond Fri, 21 Nov 2025 23:09:00 +0000 https://medcitynews.com/?p=142359

Blue Shield of California Promise Health Plan has launched a program that gives eligible new parents in San Diego County baby supplies and incentives to support postpartum and infant care.

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California Signs PBM Law: As Federal PBM Regulation Lags, the States Step Up https://medcitynews.com/2025/10/california-pbm-law/ https://medcitynews.com/2025/10/california-pbm-law/#respond Thu, 30 Oct 2025 22:20:24 +0000 https://medcitynews.com/?p=141659 prescription drug medication

With federal PBM reform stalled, states like California are stepping up with laws like SB 41 to boost transparency and lower drug costs.

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Blue Shield of California Launches New Digital Tool for Medication Transparency https://medcitynews.com/2025/08/blue-shield-california-drug-cost/ https://medcitynews.com/2025/08/blue-shield-california-drug-cost/#respond Fri, 08 Aug 2025 17:43:47 +0000 https://medcitynews.com/?p=139123 drug price transparency medications

Through a new tool, Blue Shield of California members can now be notified when a clinician begins an e-prescription and view lower-cost alternatives.

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Blue Shield of California, Zocdoc Partner To Help Members Schedule Care https://medcitynews.com/2025/06/blue-shield-california-zocdoc-partner/ https://medcitynews.com/2025/06/blue-shield-california-zocdoc-partner/#respond Fri, 13 Jun 2025 21:35:28 +0000 https://medcitynews.com/?p=137650 partnership

Through a new partnership, Zocdoc’s technology has been embedded within Blue Shield of California’s “Find a Doctor” feature. Members can now log in and find real-time availability of providers in their network and book appointments within a 90-day window directly through the insurer’s website.

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Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs https://medcitynews.com/2025/03/healthcare-hires-executive-moves-layoffs/ https://medcitynews.com/2025/03/healthcare-hires-executive-moves-layoffs/#respond Mon, 31 Mar 2025 23:24:02 +0000 https://medcitynews.com/?p=135577 healthcare moves

March has seen a slew of executive hires, exits and layoffs across the healthcare industry. For example, providers like Providence and Geisinger have appointed new C-suite leaders, and companies like Blue Shield of California and Evernorth have undergone CEO exits. There were also layoffs at organizations including HHS, Blue Cross of Idaho and the University of Pennsylvania Health System.

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Healthcare Moves: A Monthly Summary of Hires and Layoffs https://medcitynews.com/2024/10/healthcare-executive-hire-layoffs-5/ https://medcitynews.com/2024/10/healthcare-executive-hire-layoffs-5/#respond Fri, 01 Nov 2024 00:00:15 +0000 https://medcitynews.com/?p=131183 healthcare moves medcity

Here is a selection of recent executive hires, exits, promotions and layoffs occurring across the healthcare industry.

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9 HLTH Announcements You Don’t Want to Miss https://medcitynews.com/2024/10/hlth-healthcare-news-technology/ https://medcitynews.com/2024/10/hlth-healthcare-news-technology/#respond Wed, 23 Oct 2024 21:23:02 +0000 https://medcitynews.com/?p=130878

Here are nine notable announcements shared at the HLTH conference held this week in Las Vegas.

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Blue Shield of California, Salesforce Partner to Modernize Prior Authorization https://medcitynews.com/2024/10/partnership-prior-authorization/ https://medcitynews.com/2024/10/partnership-prior-authorization/#respond Tue, 22 Oct 2024 05:34:26 +0000 https://medcitynews.com/?p=130786 prior authorization request

During HLTH 2024, Blue Shield of California and Salesforce announced a partnership that will streamline the prior authorization process.

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Blue Shield of California Offers Blue Zones App to Encourage Healthier Living https://medcitynews.com/2024/08/blue-shield-of-california-blue-zones/ https://medcitynews.com/2024/08/blue-shield-of-california-blue-zones/#respond Tue, 06 Aug 2024 21:30:00 +0000 https://medcitynews.com/?p=128691

Blue Shield of California members can now access the Blue Zones Challenge App, which guides users to adopt the lifestyle habits of people in blue zones— regions known for longer, healthier lives.

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Blue Shield of California Launches New Way for Members to Interact with Health Info https://medcitynews.com/2024/06/blue-shield-of-california-launches-new-way-for-members-to-interact-with-health-info/ https://medcitynews.com/2024/06/blue-shield-of-california-launches-new-way-for-members-to-interact-with-health-info/#respond Thu, 27 Jun 2024 23:31:33 +0000 https://medcitynews.com/?p=127645

Blue Shield of California unveiled its new Member Health Record on Wednesday. It allows members to access their health information in one place within the insurer’s app or website.

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Blue Shield of California CEO on PBM Shakeup: ‘It’s Going to Become the Norm’ https://medcitynews.com/2024/03/blue-shield-of-california-pbm-drug-costs/ Thu, 07 Mar 2024 23:16:41 +0000 https://medcitynews.com/?p=666690

During a fireside chat hosted by MedCity News at ViVE, Blue Shield of California CEO Paul Markovich discussed the company’s decision to largely move away from CVS Caremark as its PBM and partner with several other companies.

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3 Reasons to Attend the Payer Insights Sessions at ViVE 2024 https://medcitynews.com/2024/02/3-reasons-to-attend-the-payer-insights-sessions-at-vive-2024/ Mon, 12 Feb 2024 12:30:39 +0000 https://medcitynews.com/?p=663594

[Sponsored] The Payer Insights Program at ViVE 2024, in partnership with MedCity News, kicks off day one at the event. This new immersive program will focus on the impact of rising healthcare costs, recent regulatory changes, and innovative payer solutions for optimizing data insights, minimizing costs, and expanding access to care.

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Blue Shield of California Plan Helps Members Earn GED Diploma https://medcitynews.com/2024/01/ged-medicaid-education-diploma/ Tue, 30 Jan 2024 21:48:40 +0000 https://medcitynews.com/?p=662814

Blue Shield of California Promise Health Plan is working with the GED Testing Service to help members earn a General Educational Development (GED) diploma for no cost. Members can register online and gain access to GED study materials in both English and Spanish.

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Blue Shield of California, Mahmee Expand Maternal Health Partnership https://medcitynews.com/2023/11/maternal-health-partnership-doulas/ Fri, 10 Nov 2023 20:18:24 +0000 https://medcitynews.com/?p=655206

Blue Shield of California is now offering Mahmee, a maternal health company, to eight employer groups. It comes after a successful pilot in which Mahmee served 80 members.

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FOLX Health Goes In-Network With Blue Shield of California, Other Insurers https://medcitynews.com/2023/10/network-insurers-lgbtqia-affirm/ Fri, 20 Oct 2023 19:17:08 +0000 https://medcitynews.com/?p=652644

FOLX Health is now in-network with insurers, including Blue Shield of California. The company serves the LGBTQIA+ community and offers virtual primary care, one-on-one therapy, mental health medication management, hormone replacement therapy, pre-exposure prophylaxis and care navigation.

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CVS Exec: We’re Going To Find Out if Blue Shield of California’s New Drug Model Will Lower Costs https://medcitynews.com/2023/10/cvs-prescription-drug-costs-pbms/ Mon, 09 Oct 2023 05:32:06 +0000 https://medcitynews.com/?p=651156

Blue Shield of California recently switched up its pharmacy benefit model by distributing responsibilities to several different vendors. The model has the potential to increase drug costs, but it remains to be seen, according to Creagh Milford, SVP of retail health at CVS Health.

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Why Blue Shield of California Is Shaking Up its Prescription Drug Model https://medcitynews.com/2023/08/prescription-drug-costs-pbms-insurance/ Fri, 18 Aug 2023 18:45:27 +0000 https://medcitynews.com/?p=645804

Blue Shield of California is cutting many of its ties with CVS Caremark (though not all) and adding four additional partners for its prescription drug benefits. These partners include Mark Cuban Cost Plus Drug Company and Amazon Pharmacy. The changes are needed to disrupt the current broken system, said Salina Wong, senior director of clinical pharmacy programs at Blue Shield of California.

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Payer’s Place: Peter Long, Blue Shield of California https://medcitynews.com/2023/08/payers-place-peter-long/ Wed, 09 Aug 2023 13:25:40 +0000 https://medcitynews.com/?p=644346

[Sponsored] Peter Long of Blue Shield of California discusses how they focus on member experience and ways to improve their overall healthcare needs.

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Healthcare Moves: A Monthly Summary of Hires and Layoffs https://medcitynews.com/2023/06/healthcare-executives-layoffs/ Tue, 27 Jun 2023 23:23:36 +0000 https://medcitynews.com/?p=639729 healthcare moves

Here is a selection of recent executive hires, exits, promotions and layoffs occurring across the healthcare industry.

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MedCity Pivot: Blue Shield of California CEO Says Value of HealthTech Has Been Mixed So Far https://medcitynews.com/2023/03/medcity-pivot-blue-shield-of-california-ceo-says-value-of-healthtech-has-been-mixed-so-far/ Thu, 30 Mar 2023 17:38:30 +0000 https://medcitynews.com/?p=629496

Paul Markovich believes in the value of health tech in managing both chronic diseases and in general health and wellness. In this episode, he talks about the company’s Wellvolution platform and the digital tools that are offered there to members, now even to those on Medicaid.

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Why Blue Shield of California Made Its Wellvolution Platform Available to Medi-Cal Members https://medcitynews.com/2023/02/why-blue-shield-of-california-made-its-wellvolution-platform-available-to-medi-cal-members/ Tue, 21 Feb 2023 23:18:36 +0000 https://medcitynews.com/?p=624805 mental health

Blue Shield of California’s Wellvolution platform includes programs for mental health, diabetes reversal, addiction and nutrition. Last month, the payer made the platform available to its Medi-Cal members, a process that took two years.

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Blue Shield of California Adds Virta Health to Network for Diabetes Care https://medcitynews.com/2023/02/blue-shield-of-california-adds-virta-health-to-network-for-diabetes-care/ Tue, 07 Feb 2023 20:58:34 +0000 https://medcitynews.com/?p=623239

Virta is available this month to all Blue Shield of California members enrolled in preferred provider organization plans for individual and family, fully insured, self funded and Medicare Advantage. The payer has been working with Virta since 2019 when the digital health company joined Blue Shield of California’s Wellvolution, a platform of digital lifestyle apps.

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Blue Shield of California Launches ‘Virtual First’ Health Plan With Accolade, TeleMed2U https://medcitynews.com/2023/01/blue-shield-of-california-launches-virtual-first-health-plan-with-accolade-telemed2u/ Mon, 30 Jan 2023 23:15:58 +0000 https://medcitynews.com/?p=622366 telehealth virtual care

Blue Shield of California’s new health plan, Virtual Blue, gives members virtual access to primary care through Accolade and virtual access to specialty care through TeleMed2U. If needed, they can also receive in-person care through the payer’s PPO network.

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Blue Shield of California, Google Cloud to develop real-time claims processing platform https://medcitynews.com/2021/10/blue-shield-of-california-google-cloud-to-develop-real-time-claims-processing-platform/ Tue, 19 Oct 2021 19:51:40 +0000 https://medcitynews.com/?p=554774

The companies will build their claims processing platform on Google Cloud’s infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is to improve patient and provider experience and reduce spending on administrative processes.

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Insurers back kidney care startup Cricket in $83.5M round https://medcitynews.com/2021/08/insurers-back-kidney-care-startup-cricket-in-83-5m-round/ Fri, 06 Aug 2021 16:38:38 +0000 https://medcitynews.com/?p=543740

Cigna Ventures and Blue Shield of California contributed to a funding round for Cricket Health, a startup that provides services to help patients identify chronic kidney disease and get support in treatment. The investment was led by Valtruis, a firm that invests in value-based care companies.

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California insurer rolls out Covid-19 triage tool https://medcitynews.com/2020/03/california-insurer-rolls-out-covid-19-triage-tool/ Thu, 19 Mar 2020 00:01:33 +0000 https://medcitynews.com/?p=483041

Blue Shield of California is partnering with digital health startup GYANT to roll out Covid-19 screening tools to hospitals in its network for free. Hospitals can deploy the tool on their websites, without having to integrate it with their health record systems.

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Blue Shield of California makes Teladoc visits free https://medcitynews.com/2020/03/blue-shield-of-california-makes-teladoc-visits-free/ Wed, 18 Mar 2020 00:13:31 +0000 https://medcitynews.com/?p=482825

Blue Shield of California is waiving out-of-pocket costs for members accessing telehealth services through Teladoc. The change will apply to members of its commercial plans.

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Benefits platform Accolade files for IPO https://medcitynews.com/2020/03/benefits-platform-accolade-files-for-ipo/ Mon, 02 Mar 2020 21:04:56 +0000 https://medcitynews.com/?p=481151

Accolade, a platform designed to boost employee engagement with their health benefits, filed preliminary paperwork for an IPO. The company plans to be listed on Nasdaq as ACCD

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