![]() The hospital system and insurance company are also fighting over some language in the contract that McClure said would prevent the insurance company from doing claim reviews to make sure bills have appropriate changes. David's HealthCare and Baylor Scott & White Health ― Ascension Seton is "already the highest cost system in the market," and the "children's facility (Dell Children's) is one of the highest in the state." She said that compared to the other two hospital systems in the area - St. McClure of Blue Cross and Blue Shield of Texas said the differences between it and Ascension Texas involve reimbursement rates for services, which are "a lot of money," McClure said, "multi, multi millions."īlue Cross and Blue Shield of Texas has offered a cost coverage increase, but "so far their demands have been higher than we're willing to pay," McClure said. ![]() Health Care Service Corporation Group, which owns Blue Cross and Blue Shield of Texas, had a net income in 2020 of $3.889 billion, according to Best's Credit Report. Without a commitment to reasonable terms, our current agreement with BCBSTX will end on Janufor BCBSTX’s Commercial and Medicare Advantage members."Īscension Texas' 11 hospitals had a 2021 operating profit of $399.6 million, according to the National Academy for State Health Policy's Hospital Cost Toll and Resources. "We are seeking to renew our Blue Cross Blue Shield of Texas (BCBSTX) agreement with reasonable and updated contract terms to help ensure its members in Central Texas can continue to access our unique combination of high-quality, advanced and affordable care. Ascension Texas is continuing to work with Blue Cross Blue Shield of Texas on contract terms that will ensure BCBSTX policyholders maintain in-network access to Ascension Texas hospitals, physicians and hospital-based clinics including Dell Children’s Medical Center, and select joint venture facilities, including Ambulatory Surgery Centers. ![]() "It's not like we're at an impasse," said Shara McClure, division vice president for health care delivery at Blue Cross and Blue Shield of Texas, "We're continuing to talk, continuing to come back with proposals."Īscension Texas, which includes the Ascension Seton hospitals in Central Texas and Ascension Providence in Waco, declined to answer questions about the negotiations and the impact on its patients. ![]()
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