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 will cancel approximately 315,000 enrollments impacting more than 760,000 individuals as part of its anti-…
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The departments of Health and Human Services, Labor, and the Treasury have added Physio Solutions, LLC as a new independent dispute resolution entity…
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Guidance on the implementation timeline for the No Surprises Act independent dispute resolution operations final rule was released Aug. 7 by the Departments of…
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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…
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The Department of Labor July 22 released a proposed rule to modernize how group health plans deliver required disclosures. The proposal would create a safe…