By Star-Advertiser staff
The Hawaii Supreme Court has ruled that a Maui teacher has the right to sue Kaiser Foundation Health Plan Inc. in court for reimbursement of $250,000 in medical bills, even though the state health trust fund agreed to an arbitration process to settle disagreements.
JACKSON, MS (Mississippi News Now) –
The insurance network battle is still brewing between Health Management Associates and Blue Cross Blue Shield of Mississippi. Monday they took the fight to the State Capitol.
HMA sued Blue Cross in June, claiming they weren’t getting the money they were promised in their contract. A week later they were dropped from the Blue Cross network list.
The concerns from hospitals and doctors have only grown since then. They’re worried they won’t be around to give care if something doesn’t change.
“The ultimate result is going to be that those hospitals close. It’s not a threat. It’s just a reality,” said Paul Hurst, of Health Management Associates.
HMA hospitals are absorbing any out-of-network costs for Blue Cross patients but say those people are getting conflicting messages.
“They’re telling patients that you can’t go to these hospitals because we aren’t going to pay for it. So they’ve created a lot of confusion, a lot of fear,” said Hurst
The Mississippi legislature could step in to attempt to resolve an impasse between the state’s largest insurance company and a group of ten Mississippi hospitals. A joint legislative hearing about the dispute was sometimes heated and emotional.
A standing room only crowd of mostly doctors, lobbyist, and legislators packed the committee room yesterday for a hearing about the on-going contract dispute between Blue Cross Blue Shield and Hospital Management Associates which runs 10 hospitals in Mississippi.
The two companies are feuding over how much the insurance company should pay for procedures.
Paul Hurst with HMA claims Blue Cross is using its dominate market position to strong arm the hospitals into lower payments.
JEFF AMY, Associated Press
JACKSON, Miss. (AP) — Blue Cross & Blue Shield of Mississippi has told the state’s second-largest hospital owner that it will end its contract with the company’s 10 Mississippi hospitals at the end of August.
The insurer sent the termination notice to Health Management Associates hospitals statewide on June 25. Naples, Fla.-based HMA had sued Blue Cross for $13 million a week earlier, claiming the Flowood, Miss., insurer is breaking contract terms by underpaying for a number of procedures.
Joe Whatley, of WhatleyKallas, which has an office in Birmingham, told me today that District Judge David Proctor chose the co-lead counsels during a hearing this morning. Whatley said his firm will represent the providers – doctors and clinics – and David Boies of New York and Michael Hausfeld of Washington, D.C. will represent the subscribers, or insurance plan buyers.
By Andrew Longstreth
NEW YORK | Wed Feb 20, 2013 5:50pm EST
(Reuters) – A litigation onslaught facing the Blue Cross and Blue Shield Association and its 38 member health plans over alleged antitrust violations has snowballed ahead of a legal status conference scheduled for Thursday.
June 07, 2013
The Blue Cross & Blue Shield Association and Blue Cross and Blue Shield’s Illinois affiliate were sued for allegedly restraining health insurance market competition.
The national association and Health Care Service Corp., which does business as Blue Cross and Blue Shield of Illinois, were named in a complaint filed today in federal court in Chicago as a class action, or group lawsuit, on behalf of policyholders from August 2008 to the present.
The plaintiffs seek a court order barring Health Care Service from agreeing with the 37-member association on geographic limits to its operations. They’re also asking for unspecified money damages.
June 25, 2013 6:04 pm • IR State Bureau
Montana Attorney General Tim Fox gave his conditional approval late Tuesday for a portion of Blue Cross and Blue Shield of Montana’s proposed merger with an Illinois health insurer.
Fox said the $40.2 million purchase price that Health Care Service Corp. proposed to pay for Blue Cross is a “fair market value” for the company, and that the money will go to a new nonprofit charity called the Montana Healthcare Foundation.