Georgia Blues plan sued under any-willing-provider law
February 15th, 2008 Posted by: Dr. Cox
Georgia physicians are fighting what they say is an illegal attempt by the state Blues to shut some doctors out of the health plan’s HMO network in violation of the state’s so-called any-willing-provider law.
Most states have such laws, which generally prohibit managed care entities from excluding doctors from their panels as long as the physicians meet the plan’s criteria and are willing to accept its terms. But doctors say BlueCross BlueShield of Georgia’s refusal to include some of Northeast Georgia Cancer Care LLC’s oncologists in its HMO plan is putting patient care at stake.