Blue Cross Blue Shield Antitrust Settlement – Action Needed

Are You Eligible?
If you or your clinic provided care, equipment, or supplies to any Blue Cross Blue Shield (BCBS) patient between July 24, 2008, and October 4, 2024, you are likely included in this settlement.

What’s This About?
A $2.8 billion settlement has been reached in a lawsuit alleging BCBS companies limited competition and underpaid providers.

Your Options:
• File a Claim: To receive any payment, you must file a claim by July 29, 2025.
• Do Nothing: You will not get any money and cannot sue BCBS over these issues later.
• Opt Out: If you want to sue BCBS on your own, you must have opted out by March 4, 2025.

How Much Will You Get?
The fund will be split: 92% to hospitals/facilities, 8% to professionals (including chiropractors). The exact amount depends on how many claims are filed.

How to File:
Go to the official provider settlement website and click “Submit a Professional Claim” to file online.

Questions?
For more details, visit the BCBS Provider Settlement website.

Key Deadline:
July 29, 2025 – Last day to file your claim. Don’t miss out.

Citations:
Settlement Information:https://www.bcbsprovidersettlement.com/Home
Application: https://www.bcbsprovidersettlement.com/Home/ClaimantAccount

ASK LISA: The Vital Importance of the Post Report & Patient Financial Consultation

Greetings,

In our last two webinars, we discussed the importance of patient financial consultations.

Let’s delve into why they are so important to your bottom line and how you can set them up for success.

First, changes to insurance coverage and managed care have created an environment where third-party reviewers sometimes have more say in your patient’s length of care than you do.

Second, it is important to note that the financial consultation is a part of the overall Post Report. To be successful, all steps below should be reviewed and completed with each patient, whether they are new or re-activating their care. Why a post report?

The purpose of the post report is for the staff to fully address with the patient any obstacles to the patient getting the care they need and to set the patient up for their schedule of care. This includes setting up multiple appointment schedules, emphasizing the importance of staying on the schedule of care, discussing missed appointments, discussing any needed financial arrangements, going over how to check in at future visits, establishing where the patient should turn with questions or problems, and reassuring the patient in their decision to follow through with care.

Before you meet with the patient for the financial consultation, you also have to have a clear understanding of what you want to accomplish with your financial plans for patients. Your plans need to line up with the goals you have in your office and you need to individualize the plans. Do you want a high percentage of cash, wellness patients? An insurance-based family practice? PI or Work Comp acute care rehab practice? Is the patient undergoing a financial hardship? Each has a different set of criteria for tailoring patient financial agreements.

As these become more common, you can increase your patient retention and compliance by offering more OPTIONS for patient payments. Yes, this requires more work and more follow up, but adjusting to changing business practices in the world often require changing your internal procedures and policies. Adapt and offer ways to make care affordable, then promote these options so that patients see there is a way for them to get the care they need at a price they can afford.

Our Motto: Financial Plans are Liberal; Collections Policies Are Not.

This doesn’t mean reducing your fees or giving away services. On the contrary. For example, a new car costs many thousands more than your treatment plan, but auto dealers are adept at showing the customer ways they can drive that car home today.

Standardizing these procedures will ensure that your patients feel well taken care of at the office at all times.

Questions? We can help.

Click HERE for a sample care plan and financial plan template. [LINK]