In a landmark development, Blue Cross Blue Shield (BCBS) has reached a $2.8 billion settlement to resolve antitrust claims brought by health care providers, including chiropractors. The lawsuit accused BCBS of dividing the nation into exclusive regions and limiting competition, which resulted in lower reimbursements for providers. Although BCBS denies any wrongdoing, the company agreed to the settlement to avoid lengthy litigation – and you can get a piece of the pie.
I.Q. -- Interesting Quote
Surgical Zip Code Risk
Who says that medical care is based on what the patient needs? According to a front page article in The Wall Street Journal:1
"People with weak hearts, sore backs and breast cancer may think their symptoms alone decide their care. Not so. A patient's odds of getting a major, invasive procedure can be swayed by something else: his or her zip code."The author cites a study by Dartmouth Medical School and the American Hospital Association which revealed enormous differences in the application of invasive surgical procedures. The article suggests that this may have a lot to do with the number and aggressiveness of the surgeons in a patient's area.
1. "Maximum Medicine," The Wall Street Journal, July 16, 1996.