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.
The New Health Care Lexicon
"Covered Lives" and "RBRVS"
As our world changes, so does our language. This little biweekly column looks at the lexicon of health care reform and the terms you need to know.
Covered lives. In capitated systems, the total patient base.
RBRVS. The resource-based relative-value scale, a revised payment structure for the Medicare system that is intended to reward primary-care physicians and specialists more equitably than they have been in the past.
------------------------ These definitions are reprinted with permission from the glossary of Revolution: The New Health Care Takes Shape, authored by noted health care futurist, Russell C. Coile, Jr., and published by Whittle Direct Books 1993.