New Orleans jury finds Blue Cross Blue Shield of Louisiana guilty of fraud and mistreatment towards local doctors known for advanced breast reconstruction procedures. The doctors sued over unpaid claims for thousands of procedures. Blue Cross accused of pressuring doctors to join network, skimming profits, and coding reimbursements for less advanced surgeries. Jury awards doctors $421 million. Blue Cross plans to appeal, stating their mission is to provide affordable, quality care. Controversy around insurance companies discouraging advanced surgeries. One patient, a breast cancer survivor, praised the doctors’ expertise and refused to switch to in-network physicians. Surprising allegations of profit-driven practices within the insurance company.
https://www.wwltv.com/article/news/local/louisiana-doctors-win-big-lawsuit-against-blue-cross-blue-shield/289-d139c676-58ee-4f2c-993c-ba4c59517c7a