We Put CareFirst in the Hot Seat

Late last year, MSDC was concerned that the business practices of CareFirst BlueCross BlueShield were anti-physician and anti-patient.  What did we do? Throughout 2005, MSDC compiled data on problems that members were experiencing with CareFirst and shared them with the Insurance Commissioner who directed CareFirst to work with MSDC to resolve the problems.  Progress is being monitored closely.

MSDC also remained a member of the CareFirst Watch Coalition, which was formed to make sure CareFirst meets the requirements of its charter as a not-for-profit company.  In 2005, the Coalition endorsed a report with recommendations on how CareFirst should better serve its non-subscriber public.

Provided One-On-One Assistance with Health Plan Problems

• As part of the Aetna and CIGNA class action lawsuit settlements, MSDC was available to help members file claims and get the reimbursement they deserved.
• When a member encountered problems with a health plan, MSDC stepped in to help on matters, including reimbursement, credentialing and retroactive denials.