Overview

• The Lakes Treatment Center filed suit in January claiming Anthem withheld over $400,000 in reimbursements and both sides will arbitrate this fall.
• In 2023 the facility won 49 of 54 state appeals, prompting Anthem to pay hundreds of thousands of dollars for alcohol and drug treatment.
• Under California’s 2020 parity law The Lakes remains one of the few rural providers serving Anthem-insured patients in the Sierra foothills.
• State legislators are advancing bills to require insurers to report treatment denial data and limit how frequently they can review patient eligibility.
• Anthem says it is committed to ensuring timely reimbursements for provider partners as it evaluates its network contracts.