blue shield insurance games

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serrana
serrana CSN Member Posts: 163 Member
edited March 2014 in Colorectal Cancer #1
Just heard today that University of Calif NCI Cancer Center is not accepting Blue Shield per Jan 1.........anyone know anything about this????????? Is this what is going to happen with the health (care) reform?
Serrana

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  • John23
    John23 CSN Member Posts: 2,121 Member
    #2
    Conservativespeak?
    Re:
    "Just heard today that University of Calif NCI Cancer Center is not accepting Blue Shield "

    Wazzat got to do with "health care reform"?
  • serrana
    serrana CSN Member Posts: 163 Member
    #3
    John23 said:

    Conservativespeak?
    Re:
    "Just heard today that University of Calif NCI Cancer Center is not accepting Blue Shield "

    Wazzat got to do with "health care reform"?

    blue shield fighting w/ NCI Cancer Center over rates
    Hi John
    IMO for a major insurance company to suddenly offer lower rates ( i.e. lower than last year etc) to the only cancer center in three southern California counties leads to the center refusing to contract with them ( work for less and less money).

    This may reflect what will happen if the "health care reform" results in insurance companies having to pay for hi dollar patients without requiring a certain level of provider compensation.

    They can avoid high risk patient dollars by offering low dollars and not even getting contracts at all which may be their plan.

    If they lower their reimbursement rates they can keep more money for those hi exec compensations by getting out of covering hi risk patients.

    I think that the gov should require insurance companies to reimburse ALL providers a living wage and not be in the game of negotiating.

    When I was a provider and managed care appeared on the scene my reimbursement rate slowly declined to 50% of what it was before managed care.

    Serrana

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