Connect with us

San Diego, CA

Anthem Blue Cross patients regain access to Scripps Health

Published

8 months ago

on

Anthem Blue Cross patients regain access to Scripps Health


Four months after the contract between Scripps Health and Anthem Blue Cross lapsed, forcing an estimated 125,000 San Diego County residents to consider changing their coverage or finding different doctors, the medical provider announced Tuesday afternoon that the previous relationship has been restored.

Scripps notified patients by email that those with Anthem Blue Cross health insurance coverage can immediately resume making appointments with its approximately 3,000 affiliated doctors and using its network of hospitals and medical offices throughout the region.

In the fall of 2024, Scripps notified patients that the contract with Anthem might not be renewed, citing disagreement with the carrier over reimbursement rates and what the provider said were burdensome requirements for prior approval of billable medical procedures.

Richard Neale, a corporate executive vice president and Scripps’ chief growth officer, said Tuesday afternoon that the new agreement with Anthem simply extends the terms of the previous contract through Sept. 30, 2026.

Advertisement

Disagreements over reimbursement and prior medical approval remain unresolved.

“This is an extension, it is not a new agreement,” Neale said. “So, in a long-term sustainable agreement … those two priorities, which are really breaking down the barriers that interfere with the patient’s ability to get the care that their physician is recommending and to ensure that Scripps gets fair payment, those will be the focal points … that we will be focused on negotiating during the extension period.”

Little information was available on just how many of the more than 125,000 local Anthem beneficiaries stayed with the carrier, hoping for a quick resolution and how many decided to choose a different carrier during the annual open enrollment period, which usually occurs in the fall.

Anthem did not provide information on how many changed carriers or how many health management organization beneficiaries it switched to different local medical providers when Scripps went out of network on Jan. 1.

“We are pleased Scripps Health has rejoined our local network of care providers in San Diego and we look forward to continuing our partnership,” said Beth Andersen, president of Anthem Commercial Health Plans in California, in a statement. “Our members and employer customers remained our number one priority as we worked hard and in good faith to find common ground and reach agreement with Scripps.”

Advertisement

The news came as a relief to many patients Tuesday.

Ron Stolberg of Rancho Penasquitos said that he left Scripps for Sharp HealthCare while his wife tried to stay with Scripps as much as was possible, though some tests needed in the past four months went to Sharp.

“I think it’s great news for those of us that value our history with Scripps, but for many of us, we have gone on and made new relationships with health care providers in other systems,” Stolberg said. “If this was going to get worked out, it would have been great to do it before over 100,000 consumers stressed other health care systems.

“It’s hard to know what to do now, be faithful to a new provider who took us in, or the one we know better but dismissed us over a contract dispute.”

While he said he is on the fence, he said his wife plans to return to Scripps as soon as possible.

Advertisement

Why not extend the contract last year rather than waiting for four months? Neale said that an extension was not on the table.

“We had actually recommended or proposed to Anthem at that time to extend the terms of the existing agreement to negotiate that long-term agreement,” Neale said. “At that time, they turned us down.”

It does not appear that Scripps suffered much financially during the short-lived Anthem divorce. Revenue from third-party payors, for the most part commercial health insurance companies, actually increased slightly in the first three months of 2025 compared to the same period in 2024, according to quarterly financial reports filed with the state. Scripps confirmed the trend in an email Tuesday.

Neale said that patients with preferred provider or exclusive provider organization insurance, which allows beneficiaries to self-refer to any doctor in their network, immediately gain access, while those with health management organization coverage must go through Anthem.

“For EPO or PPO members, they can call (Scripps) today to get an appointment,” Neale said. “HMO members, they need to call Anthem to seek reassignment to a Scripps provider.”

Advertisement

The new contract does not include Anthem plans on the Covered California health insurance exchange. Neale declined to elaborate on why these plans will not regain Scripps in their provider networks. The executive did say that there were about 14,000 Scripps patients in Covered California Anthem plans at the end of 2024, though some may have switched health insurance companies during annual open enrollment in the fall and early winter of 2024 to retain access to Scripps.

Originally Published:



Source link

Related Topics:
Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

San Diego, CA

Padres roster review: Sung-Mun song

Published

6 hours ago

on

January 6, 2026

By

Padres roster review: Sung-Mun song





Padres roster review: Sung-Mun song – San Diego Union-Tribune


















Advertisement




Skip to content

SUNG-MUN SONG

  • Position(s): Third base, second base
  • Bats / Throws: Left / Right
  • 2026 opening day age: 29
  • Height / Weight: 6-foot / 194 pounds
  • How acquired: Signed as a free agent in December 2025
  • Contract status: A four-year, $15 million deal will see Song make $2.5 million in 2026, $3 million in 2027, $3.5 million in 2028 and $4 million in 2029 if he does not opt out of last year; Half of his $1 million signing bonus is due in January 2026 and the other half in 2027; There is a $7 million mutual option for 2030.
  • fWAR in 2025: N/A
  • Key 2025 stats (KBO): .315 AVG, .387 OBP, .530 SLG, 26 HRs, 90 RBIs, 103 runs, 68 walks, 96 strikeouts, 25 steals (144 games, 646 plate appearances)

 

STAT TO NOTE

  • .214 — Song’s isolated power in 2025, a career high as he prepared for a jump to the majors. Isolated power measures a player’s raw power (extra bases per at-bat) and Song had a .190 OPS in 2018, in his third year as a pro in Korea, before it dropped to .101 in 2019 and then a career-low .095 in 2023. Hitting 19 homers pushed Song’s isolated power to .178 in 2024 and then a career-high 26 homers push it even higher in 2025.

RevContent Feed

Advertisement



Source link

Continue Reading

San Diego, CA

Poway removes hundreds of trees to make city safer

Published

19 hours ago

on

January 5, 2026

By

Poway removes hundreds of trees to make city safer


Drivers traveling through the city of Poway may have noticed a dramatic change to the landscape. Since September, more than 1,400 trees — many of them eucalyptus — have been removed as part of the city’s hazardous mitigation grant project aimed at reducing wildfire risk and improving public safety.

Poway is spending roughly $3 million on the effort, which focuses on removing trees that are dead, dying or considered dangerous. Much of the cost is being reimbursed by FEMA. Officials say the project is designed to make emergency evacuation routes safer while improving the overall health of trees along major roadways, rights-of-way and open spaces.

“I was relieved that there were some efforts being put into improving our resiliency to wildfire in our community,” said Poway Fire Chief Brian Mitchell.

Mitchell said spacing out trees can slow the spread of a wildfire and prevent roads from becoming blocked during an emergency.

Advertisement

“That certainly has the potential to block our first responders from accessing somebody’s house in the middle of an emergency,” Mitchell said.

City leaders also point to storm safety as a key reason for removing hazardous trees under controlled conditions rather than risking falling limbs or entire trees during severe weather.

“I don’t want to be driving down that street and just a random limb just happened to collapse, you know, just hit me,” said Poway resident Dawn Davis.

Davis said she also worries about the threat the trees pose to nearby homes.

“I don’t want anybody’s homes here to be damaged, either by them or fire,” Davis said.

Advertisement

A Poway spokeswoman said a certified arborist evaluated nearly 6,800 trees in Poway. About 2,800 invasive trees were recommended for removal.

This story was originally reported for broadcast by NBC San Diego. AI tools helped convert the story to a digital article, and an NBC San Diego journalist edited the article for publication.



Source link

Advertisement
Continue Reading

San Diego, CA

Aztecs land twin transfers from Michigan State to bolster offensive line

Published

1 day ago

on

January 5, 2026

By

Aztecs land twin transfers from Michigan State to bolster offensive line


The front of the Fowler Athletic Center at San Diego State includes a pair of double doors that open from the inside out. Replacing them with revolving doors would seem appropriate, given all the comings and goings nowadays.

SDSU had two dozen football players — including five starters on the defense — enter the NCAA transfer portal, which opened Friday. The first wave of candidates to replace them visited over the weekend.

And by Sunday afternoon, SDSU announced its first two signings. It was a package deal.

Sophomore offensive linemen Charlton and Mercer Luniewski are Michigan State transfers from Cincinnati. And twins.

Advertisement

Charlton Luniewski’s social media says that he goes by “Big Chuck,” although Mercer is listed as an inch taller and 13 pounds heavier at 6-foot-6, 320. Mercer is also, by the way, 45 minutes older.

Charlton profiles at guard and Mercer at tackle, though SDSU typically works players in multiple spots to find the ideal fit. The twins are expected to challenge for spots on the two-deep if not the starting O-line, which lost three starters to graduation.

The twins were highly recruited two years ago out of Cincinnati Hills Christian Academy, where they also competed in track and basketball. They have three years of eligibility remaining.

The Luniewskis were among a dozen transfer recruits who visited SDSU over the weekend. Commitments have come from half of them. More recruits are scheduled for the coming this week as the Aztecs look to replenish the roster.

SDSU also received a commitment Sunday from Nate Henrich, a 6-6 edge from Division II Gannon University in Pennsylvania. Henrich had six tackles at Gannon, but he is viewed as having high upside with good size and length. He could provide needed depth at a position where the Aztecs lost four players to the portal.

Advertisement

SDSU also expects commitments from Oregon State edge Kai Wallin, Portland State safety Isaiah Green and College of the Sequoias wide receiver Marshel Sanders.

Wallin is a 6-5 senior from Sacramento who played in nine games this season (seven starts) for the Beavers, making 17 tackles with one sack and four quarterback hurries. Green, a 6-1 junior from Oxnard, had a team-high 101 tackles at Portland State. Sanders is a 5-11 junior from Fresno who had 70 receptions for 929 yards and four touchdowns.

Bostick back

SDSU wide receiver Jacob Bostick announced on his social media Sunday that he is returning for the 2026 season.

His post read, in part: “Excited to get back to work with my coaches and teammates.”

Bostick had 11 catches for 157 yards and three touchdowns over six games before suffering a season-ending knee injury during practice six games into the season. He anticipates being ready to return by fall camp.

Advertisement



Source link

Continue Reading
Advertisement

Trending