Business

R.I. Blues repays members

NEWS IN BRIEF — Posted Jan. 31, 2005

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

BlueCross BlueShield of Rhode Island agreed in January to pay members and former members $17.5 million to settle accusations that the state's biggest health plan failed to pass discounts along to patients for medication and medical treatment.

Under the agreement, some 115,000 BlueCross subscribers will get cash payments ranging from $10 to $2,500, the Providence-based company said. The average payout will be $95. As part of the settlement, the company does not have to admit wrongdoing.

The settlement stems from class-action lawsuits filed in state and federal court in 1996, and which asked for $75 million in connection with BlueCross claims dating back six years.

In a statement, the Blues plan said the discrepancies between its contract provisions and what was actually paid to members "involve claims processing practices that were commonplace in the industry during the 1990s" but that those practices had ceased. UnitedHealth Group's New England subsidiary settled a similar suit for $4.4 million three years ago.

Note: This item originally appeared at http://www.ama-assn.org/amednews/2005/01/31/bibf0131.htm.

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn