Law360(August 16, 2024, 6:37 PM EDT)
A Georgia Blue Cross Blue Shield unit is fighting a California hospital’s push to have a lawsuit seeking $905,000 in reimbursements sent back to a Georgia state court, arguing the hospital’s state law claims are preempted by the federal Employee Retirement Income Security Act.
By Matthew Perlman · Listen to articleLaw360 (June 24, 2024, 9:54 AM EDT) — The U.S. Supreme Court refused on Monday to review Home Depot‘s challenge of a $2.67 billion settlement in antitrust litigation targeting Blue Cross Blue Shield, along with a separate challenge of the attorney fees awarded for the deal.
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Since an agreement has not been reached, Anthem now considers 11 Colorado hospitals and dozens of clinics and practices as out-of-network.
Posted at 9:34 PM, May 01, 2024
LAKEWOOD, Colo. — After failed contract negotiations, more than 40,000 Colorado patients with Anthem Blue Cross Blue Shield insurance no longer have in-network access to nearly all of CommonSpirit’s hospitals, clinics and physicians.
The contract terminated at 11:59 p.m. on April 30, and Anthem removed CommonSpirit from its network beginning May 1.
A spokeswoman for Anthem said the insurance company has offered CommonSpirit a multi-year agreement that includes “reasonable reimbursement rates” but said, “CommonSpirit wants to unacceptably increase costs for Colorado consumers and employers.”
Law360(April 30, 2024, 7:36 PM EDT) — A member of the class that settled multidistrict litigation with Blue Cross Blue Shield for $2.67 billion over anti-competitive practices has asked the U.S. Supreme Court to take up his challenge to the $626 million attorney fees award in the settlement, arguing the Eleventh Circuit’s approval of the award runs counter to high court precedent.
U.S. District Judge Linda V. Parker of the Eastern District of Michigan entered an Order on motions to dismiss on March 30, 2024.
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By Danielle Ferguson ·
Law360 (April 1, 2024, 6:23 PM EDT) — A Michigan federal judge has trimmed some of Ford Motor Co.’s time-barred claims alleging Blue Cross Blue Shield engaged in an anti-competitive scheme to drive up prices, but said the auto giant established it had standing to pursue allegations it was injured by market-restricting agreements among insurance licensees.
U.S. District Judge Linda V. Parker said Thursday that Ford’s alleged antitrust injuries from buying unreasonably expensive administrative services only, or ASO, products from BCBS as far back as 2013 are outside the statutory four-year window for seeking such claims.
Law360 (March 29, 2024, 8:17 PM EDT) — Home Depot has asked the U.S. Supreme Court to take up its challenge of a $2.67 billion settlement in antitrust litigation targeting Blue Cross Blue Shield, saying the deal immunizes activity that hurts competition.
Home Depot filed a petition with the high court on Tuesday, calling for it to review the Eleventh Circuit’s ruling that affirmed approval of a settlement in long-running multidistrict litigation accusing Blue Cross of using policies that prevent the association’s members from competing against each other.
Erin Lowrey
WDSU
Public hearings that were scheduled to take place in Baton Rouge Wednesday regarding the proposed reorganization and sale of Blue Cross Blue Shield of Louisiana have been canceled.
The Louisiana Insurance Commissioner’s Office said Blue Cross is now withdrawing its reorganization plan.
Blue Cross was going to be sold to Elevance Heath of Indiana.
There is no further information regarding Blue Cross’ intentions moving forward.
Clark County patients worry about changing doctors, having to wait for care
By Chrissy Booker, Columbian staff writer
As contract negotiations continue between Portland-based Legacy Health and Regence BlueCross BlueShield, patients at Legacy Salmon Creek Medical Center are worried what a potential contract termination would mean for their access to care.
“I felt my heart sink, honestly, when I heard the news,” said Battle Ground’s Karmen Presley, a Legacy patient who’s pregnant with her second child. “Just the thought of having to find a new doctor, which is really important around a sensitive thing like a pregnancy. You want to have confidence in your provider. The thought of searching for a new one was kind of daunting for me.”
By: John Burnett
Hawaii Tribune-Herald
A Kailua-Kona judge on Friday ruled that contract terms and conditions the state’s largest health insurer imposes on doctors and patients are “unconscionable” and “unenforceable.”
Third Circuit Chief Judge Robert S. Kim made the ruling in his written order denying Hawaii Medical Services Association’s motion to compel arbitration for claims made by Hilo obstetrician-gynecologist Dr. Frederick Nitta’s and the late Adrian “Scott” Norton.
