Anthem Blue Cross, Mary Washington Healthcare avoid split

Anthem Blue Cross Blue Shield avoided going out of network with Fredericksburg, Va.-based Mary Washington Healthcare as the sides were able to reach a new contract ahead of the March 1 split date. 

Advertisement

The agreement covers multiple years and begins March 1, according to a Feb. 20 news release from the health system. All of Mary Washington Healthcare facilities will remain in the network, which is the state’s largest commercial insurer.  

Anthem’s plans covered by the agreement include  its commercial insurance, affiliated-HMO, HealthKeepers Medicaid and Medicare Advantage networks. 

The sides had been at odds over reimbursement rates. Anthem alleged the health system was requesting rate increases at more than three times the rate of inflation. Mary Washington, meanwhile, alleged that Anthem was paying healthcare facilities and doctors in the region 24 percent less than its average payment rates. 

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Register to Attend Webinar

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Tuesday, August 4
11:00 AM - 12:00 PM CDT

Presenters: Koleen Cavanaugh, Independence Blue CrossBukata Hayes, HMO Minnesota (Blue Plus)Nathan Foco, Select HealthTrish Cox, SCAN Health PlanJonas Puente, ZS Associates

Advertisement

Next Up in Contracting

Advertisement

Comments are closed.