Important Information for Blue Cross Blue Shield of Nebraska Members
We are in our final week of negotiations before Blue Cross and Blue Shield of Nebraska pushes us out of network. We continue to offer tens of millions in savings, including rate cuts, but Blue Cross continues to turn us down. Here are a couple of very important facts you need to know:
1. What matters most is your health. Please do not delay your care. CHI Health Good Samaritan is committed to working with you to make sure you have the care and medications you need during this time.
2. If you hold a Medicare Supplement through Blue Cross - you are not affected by these negotiations.
3. If you have a commercial Blue Cross policy from any state except Iowa, you are impacted.
Blue Cross Blue Shield of Nebraska (BCBS) recently issued a notice of termination to its members for the contract covering how we work together in providing care to BCBS members across Nebraska. Our current contract is set to end on September 1, 2014.
For the time being, nothing changes for you - our providers and hospitals will continue to care for you as we always have. We are continuing good-faith negotiations with BCBS and are hopeful that we can reach a resolution that best serves both organizations, our healthcare providers and most importantly - you.
At the heart of these negotiations is a fundamentally different approach to care and reimbursement. We are committed to a new, progressive payment model focused on quality and outcomes, which lead to lower cost; BCBS prefers to hold on to an outdated fee-for-service model that fragments care and pays for each service provided. Clearly that does not work. Other payors, including the federal government through the Medicare, recognize the need for innovative payment models like bundling payments and creating accountable care organizations, which focus on total cost for care rather than unit cost for care.
We appreciate our communities' patience as we work through this negotiation. Our CEO, Cliff Robertson, MD, outlines our position and why it's important in this video blog. If you'd like to call
Blue Cross Blue Shield of Nebraska's dedicated hotline to encourage them to shift toward a value-based care model, the number is 844-286-0855.
You can read more about Cliff and find some answers to your questions in the documents on this page.