Corporate Compliance

Anthem Blue Cross and Blue Shield settles with doctors

Compliance Monitor, November 2, 2005

Anthem Blue Cross and Blue Shield in Kentucky and Ohio will increase reimbursements to local doctors by $160 million over the next three years, according to the Cincinnati Post.

Blue Cross and Blue Shield will be reimbursing these doctors in order to settle lawsuit claims filed in 2002.

Anthem will reimburse doctors $35 million more in 2005 than in 2004, spokeswoman Debbie Davis said Friday. The reimbursement increases by $55 million in 2006 and $70 million in 2007, she said.

Anthem will also contribute $2.75 million to create a charitable foundation to help doctors recruit other doctors into local hospitals, as well as provide funds to give medical care to those not receiving it, the Post reported.

The anti-trust lawsuits were filed on behalf of doctors in a 12-county region of Northern Kentucky and Southwestern Ohio. The lawsuits claimed that four insurance companies, including Anthem, conspired to keep reimbursements to local doctors below market value.

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