Blue Cross Blue Shield has agreed to pay $2.8 billion to a settlement fund for health care providers as part of the resolution of a 12-year antitrust lawsuit, according to the plaintiffs Oct. 14 in a filing with the U.S. District Court for the Northern District of Alabama. The lawsuit alleged that BCBS member companies violated antitrust laws by agreeing to allocate markets via exclusive service areas and fixing prices paid to health care providers through the organization's BlueCard Program. According to the providers’ law firm, Whatley Kallas, the settlement will affect how BCBS processes claims and communicates with and makes payments to providers. The firm further expects that the settlement will help alleviate and address resource-draining administrative burdens and inefficiencies experienced by providers.

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The Centers for Medicare & Medicaid Services has released an updated report on complaint data and enforcement of health insurance market reforms. CMS said…
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A survey released June 4 by the Commonwealth Fund on insurance coverage denials found that 1 in 5 privately insured U.S. adults reported that they or a family…
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A KFF analysis published May 19 examined early indicators of how the expiration of the enhanced premium tax credits has impacted effectuated enrollment levels…
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The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …