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Wednesday, March 14, 2007Insurance Update: Providers in Illinois Take a Hit from Blue Cross Blue ShieldAccording to Gil Gulbrandson, C.O. from Illinois, Blue Cross Blue Shield had not so great news for Illinois Providers. He indicates that: "We received a letter last week from BCBS of Illinois informing us that as of June 1, Illinois will have an O&P network. As most of you in IL know, to date there has been no network in IL. You could be a participating provider, but no network. BCBS paid at our list pricing." "In this new network, BCBS stated that the reimbursement would be Medicare allowable. For those of us in IL this will be a big hit. If you weren't aware, just thought I'd end your day with this cheery news. One more hit to our cash flow!" From the previous post, I would believe that California providers would prefer Medicare rates to 23% less! Insurance Update: Blue Cross Reimbursement Rates Result in More LossesAccording to Wade Skardoutos, a CP from Mountain View California, Blue Cross has cut all DME reimbursements to 23% below Medicare. He states "I found it to be a significant loss to my company, and have chosen not to contract." Additional losses result from the fact that other insurance companies and Workers Comp use the Blue Cross fee schedule to reimburse. He questions whether this policy is price fixing. While generally price fixing is done by the sellers instead of the buyers, there certainly should be another name for this situation! His bottom line question is "can't we all just accept Medicare fee and stop these negotiations? Maybe then we could all sleep better and service people better." |
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