BCBSTX customers enrolled in BlueChoice preferred provider organization, Blue Essentials health maintenance organization and Blue Premier HMO health plans will continue to receive in-network care from Baylor Scott & White providers. Limited in-network access for Blue Advantage HMO policyholders will be sustained at five of Baylor Scott & White’s hospitals.
Two provisions were added to the payer-provider contract. Beginning in 2017, Baylor Scott & White will network with STAR Kids Health Plan — offered by BCBSTX — for children with special healthcare needs, and the insurer will commit to stronger integration with Baylor Scott & White’s ACO.
“This agreement confirms and strengthens the longstanding relationship between these two organizations, and stresses our commitment to provide our members access to quality, cost-effective healthcare,” Jack Towsley, divisional senior vice president of healthcare delivery at BCBSTX, said in a prepared statement. “As stewards of our members’ healthcare coverage dollars, this is a responsibility we take very seriously.”
More articles on payer issues:
How 5 large payers performed in Q3 2016 — Revenue & net income
12 payers in the headlines
Centene receives $75M tax break on new office campus
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
