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Repeal Benefits Blue Cross Blue Shield

From The Post and Courier:

By Renee Dudley–Sunday, July 3, 2011

In 2006, the South Carolina Legislature repealed a decades-old insurance code, stripping the state’s authority to regulate discounting in contracts between hospitals and insurers.

The deletion allowed the state’s biggest health insurance company, Blue Cross Blue Shield, to negotiate contracts that could cripple its competitors and raise costs for consumers. And Blue Cross was among the special-interest groups lobbying for the repeal, according to a legislator who requested it.

Although the state apparently had not enforced that section of the law, the repeal stripped regulators of authority to step in if it became necessary to regulate anticompetitive activities.

The code appears to have forbidden types of “most-favored-nation” contracts with hospitals and doctors, which some economists said have played a significant role in driving up health care costs in South Carolina. (more…)

SC Medicaid Cuts To Cripple Several State Hospitals

From The Post and Courier:

By Renee Dudley–Friday, June 10, 2011

State Medicaid cuts announced earlier this week will cause Charleston-area hospitals to lose tens of millions of dollars, forcing at least one of them to shed jobs and reduce services, hospital officials said.

Reductions announced Monday will cost the Medical University of South Carolina Hospital about $20 million in the upcoming fiscal year, said Lisa Montgomery, the hospital’s vice president for finance.

The loss will force the hospital to eliminate jobs, which probably would happen through attrition rather than layoffs, Montgomery said. Specific service reductions are yet to be determined, she said.

Roper St. Francis Healthcare expects to lose about $2 million among its hospitals and physician practices but “will be able to absorb the cuts without losing jobs,” said David Dunlap, president and CEO of the hospital system that oversees Roper, Bon Secours St. Francis and Mount Pleasant hospitals. (more…)

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