Tim Hoch Explains the Blue Cross Blue Shield Anti-Trust Settlement
Blue Cross, blue shield network is just a unique network in this in the health insurance field. Because we're supposed to have insurance commissioners that are kind of that oversight committee to make sure they're doing the correct thing? But yet they're getting incentivized by these insurance companies, right?
Ever wondered how a massive $2.7 billion settlement could shake up the health insurance world? Tim Hoch, an anti-trust attorney from Dallas, Texas, joins 'American Medicine Today' to break down the landmark case against Blue Cross Blue Shield. Between February 2008 and October 2020, patients covered by Blue Cross/Blue Shield plans may be eligible for part of this historic settlement approved in Alabama last year.
The court found that the various state plans were anti-competitive, limiting choices and driving up prices. Tim Hoch dives into the nitty-gritty details of the lawsuit, explaining how the settlement will be distributed and who stands to benefit the most. Spoiler alert: lawyers and legal fees take a big chunk of the first million dollars. Employers who bought health insurance for their employees are also significantly impacted, and there’s a lot of uncertainty about how patients will be involved.
Tim also sheds light on the role of insurance commissioners, who are supposed to oversee operations but often have close ties to the industry they regulate. This episode is a must-listen for anyone interested in the politics of health insurance and the ripple effects of this monumental settlement.