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.
CCA Members Appointed to State Workers' Comp. Task Forces
Dr. Jerilynn Kaibel of San Bernardino and Dr. Martin Gallegos of Baldwin Park, both members of the California Chiropractic Association (CCA), were appointed to prominent positions within the state workers' compensation arena: Dr. Kaibel will join the Workers' Compensation Task Force of the Department of Insurance; Dr. Gallegos will be a member of the Senate Task Force on Medical Cost Containment in Workers' Compensation.
Dr. Kaibel was appointed to the task force by State Insurance Commissioner John Garamendi. As chairperson of the ACA Commission on Insurance, Dr. Kaibel, a Certified Industrial Disability Examiner, is an excellent choice because of her expertise in treating injured workers.
The insurance task force will address the issues of rating and underwriting, claims handling, fraud, health care, and cost containment. The group will issue recommendations for legislative, regulatory and/or administrative action in each of these areas. Dr. Kaibel's associates on the task force include employers' representatives, employee/labor groups, health care providers, insurers, and lawyers.
Dr. Gallegos was appointed to the Senate Task Force on Medical Cost Containment by the Senate Rules Committee, upon the recommendation of the CCA. This task force, comprised of health care providers, consumers, and insurance representatives, will focus on strategies to assist the Senate in containing workers' compensation costs, and is to report its findings to the Senate by January 1, 1993.