(Download) "Comanche County Hospital v. Blue Cross of Kansas" by Supreme Court of Kansas * Book PDF Kindle ePub Free

eBook details

Title: Comanche County Hospital v. Blue Cross of Kansas
Author : Supreme Court of Kansas
Release Date : January 18, 1980
Genre: Law,Books,Professional & Technical,
Pages : * pages
Size : 66 KB

Description

The opinion of the court was delivered by This is the third chapter in continuing litigation arising from conflicting ideas on how to contain spiraling hospital service costs in Kansas. The first chapter was written in Blue Cross & Blue Shield v. Bell, 227 Kan. 426, 607 P.2d 498 (1980), where it was held that Fletcher Bell, Commissioner of Insurance of Kansas, had the statutory duty and authority under K.S.A. 40-1806 and 40-1906 to review rate filings of Blue Cross and Blue Shield, and to consider, among other things, the trend projections and reasonableness of projected loss experience used in the rate filings. In order for him to approve rate filings as being reasonable the Commissioner insisted that Blue Cross enter into prospective cost review contracts with hospitals in Kansas, which contracts appeared to the Commissioner to provide some control over spiraling hospital service costs. The contracts which were to be [228 Kan. 365] replaced were described as the 1970 retrospective contracts. Under this form of contract member hospitals are reimbursed at the end of each year to the extent of one hundred four percent (104%) of allowable costs of furnishing hospital services.