Memorial Hermann, Blue Cross Blue Shield reach agreement to keep 100K in network

The building facade of one of the Memorial Hermann Medical Plaza locations along Fannin St. in the Texas Medical Center district Thursday, July. 23, 2020 in Houston, TX.Blue Cross Blue Shield and Memorial Hermann said Friday that they reached a contract agreement that brings region's largest hospital system back in network for the state’s largest insurer and spares some 100,000 patients the choice of finding new doctors or paying more.

The contract lapsed March 1 when the two entities could not come to an agreement on the status of roughly 3,000 independent physicians affiliated with Memorial Hermann. Blue Cross Blue Shield wanted the doctors to contract directly with the insurer rather than through Memorial Hermann.Memorial Hermann, Blue Cross Blue Shield terminate contract, forcing estimated 100K patients out of network

“Memorial Hermann has reached an agreement to continue our relationship with BlueCross BlueShield of Texas , maintaining the integrity of both our health system and our clinically integrated physician network , so we can continue serving our patients with exceptional, high-quality, affordable health care,” Memorial Hermann wrote in a statement.

This means that in-network access to Memorial Hermann’s hospitals, facilities and affiliated providers is restored to patients with Blue Cross Blue Shield commercial PPO/POS, EPO, Blue Essentials HMO, and Medicare Advantage HMO/PPO health plans, and they will not experience any further disruption in their care, effective immediately.

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