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Docs say Blue Cross is trying to circumvent law

Posted By Adam Linker On November 3, 2009 @ 12:42 pm In Uncategorized | Comments Disabled

Physicians have sent a letter [1] to North Carolina Insurance Commissioner Wayne Goodwin objecting to an attempt by Blue Cross to get around the provisions of a new law that goes into effect in 2010.

Here is what the doctors say in part:

We are writing on behalf of our associations and the physicians we represent to express our concern about a contract addendum recently distributed by Blue Cross Blue Shield of North Carolina and to request a meeting with you to address our concerns. We believe the contract addendum is non-compliant with Senate Bill 877 and demonstrates an effort by BCBSNC to circumvent the letter, intent and effects of a very hard-fought and important change to the general statutes. In approving Senate Bill 877, the General Assembly agreed that BCBSNC should not be able to make arbitrary changes to contracts without consent from doctors.

Apparently the contract addition from Blue Cross says that contracts can be altered in a variety of ways without the consent of doctors as long as the doctors have 90 days notice.

It seems there are other nasty provisions as well, including a process whereby Blue Cross will immediately begin terminating a physician’s contract if the physician objects to the insurance company altering a contract.

This sort of behavior is why many doctors don’t like dealing with Blue Cross. And the recent post card campaign is why many individuals don’t like dealing with Blue Cross. That’s why people need another option — a public option — to compete with the Blue Cross monopoly.


Article printed from The Progressive Pulse: http://pulse.ncpolicywatch.org

URL to article: http://pulse.ncpolicywatch.org/2009/11/03/docs-say-blue-cross-is-trying-to-circumvent-law/

URLs in this post:

[1] letter: http://www.ncmedsoc.org/blog/wp-content/uploads/2009/10/BCBSAddendumLetter102720091.pdf

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