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ARTICLE · 26 OCTOBER 2010

When Is Most Favored Too Favored?

The DOJ and Michigan are challenging Blue Cross Blue Shield of Michigan’s most favored nations contracts under federal and Michigan antitrust law.

United StatesAntitrust/Competition Law

The DOJ and Michigan are challenging Blue Cross Blue Shield of Michigan's most favored nations contracts under federal and Michigan antitrust law.

On October 18, 2010, the U.S. Department of Justice (DOJ), together with the Michigan Attorney General, brought a civil antitrust action against Blue Cross Blue Shield of Michigan (BCBS), alleging that BCBS has used "most favored nation" (MFN) clauses in contracts with Michigan hospitals to inhibit competition from other insurers and raise its rivals' costs. (United States v. Blue Cross Blue Shield of Michigan, No. 2:10-cv-14155-DPH-MKM, Oct. 18, 2010.) MFN clauses generally require a party to do business with another party on terms no less advantageous than the terms on which it deals with others. BCBS's widespread use of MFN clauses, the DOJ alleges, raises prices for commercial health insurance in Michigan.

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