BC of California set to cut physician payments

Blue Cross of California (BCC) is making a move that won't do much to improve its popularity with physicians--it's cutting payments for about half the services and procedures performed by its physicians. True, some physicians may actually do better, particularly primary care physicians, but many others will face lower fees.  The plan, for its part, says it wants to pay physicians at "sustainable levels." Doctors, meanwhile, say BCC's new rates will dip below Medicare's already low reimbursement levels, in some cases failing to even cover their expenses.

While most of the 53,408 physicians in BCC's PPO are merely grumbling and waiting things out, more than 300 have sent notices to the plan threatening to leave its network if it persists in its plans. 

One has to question BCC's timing for the cuts, as well, given that the insurer faces a public hearing in early August examining its business practices in the wake of its 2004 acquisition by WellPoint.

To find out more about BCC's current plans:
- read this Los Angeles Times piece

Related Articles:
Blue Cross of California settles plan-cancellation suits. Report
California MDs file suit against BC of California. Report
Blue Cross of California makes changes in face of lawsuits. Report
As Medicaid cuts fees, MDs drop out. Report
Some Calif. doctors are opting out of insurance-based medicine. Report

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.