Blue Cross, Methodist continue to negotiate as Dec. 31 deadline looms

Methodist University Hospital at 1265 Union Avenue in Memphis, Tennessee.

Protracted negotiations between Methodist Le Bonheur Healthcare and Blue Cross Blue Shield of Tennessee have left many Memphians wondering if their doctor will become an out-of-network provider when 2023 rolls around.

If the two groups do not reach an agreement on the rates charged by Methodist and the costs paid by Blue Cross, both for inpatient and outpatient care, it could result in tens of thousands ― most likely ― in the area who would not be able to access health care with Methodist providers. or in a Methodist area without a large out-of-pocket payment.

Both sides said that negotiations are still ongoing and they hope to have a solution by the end of the year.

The ramifications of not reaching an agreement by Dec. 31 will not affect tens of thousands of employer-sponsored health insurance through Blue Cross, including 14,000 covered by two City of Memphis plans. It can also affect many in the area covered by TennCare, including children.

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