Blue Cross, Methodist Continue Negotiations as December 31 Deadline Approaches

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 Memphisans wondering if their doctor might be an out-of-network provider come 2023.

If the two groups do not reach an agreement on the rates Methodist charges and the rates Blue Cross pays for both inpatient and outpatient care, it could result in tens of thousands, likely more, in the area being unable to access care medical with Methodist providers. or in a Methodist facility without substantial out-of-pocket payment.

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

The ripple effect of failing to reach an agreement by December 31 would not only affect the tens of thousands whose employer-sponsored health insurance comes from Blue Cross, including 14,000 covered by two city of Memphis plans. It could also affect many in the TennCare area, including children.

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