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In the largest settlement of its kind in the health care industry, the Blue Cross Blue Shield Association and 33 independent BCBS companies have agreed to pay $2.8 billion to settle antitrust claims from providers.

The association also must make significant operational changes across 16 categories, including how it processes claims, communicates and contracts with and makes payments to providers. The tentative agreement still requires approval from U.S. District Judge R. David Proctor, and a special committee will monitor BCBS for five years following the court's final settlement approval.

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