BCBS Drops MD Anderson

[somarco]

Blue Cross Blue Shield of Texas is terminating its Medicare Advantage and managed Medicaid contracts with MD Anderson Cancer Center, effective Nov. 1.

"While MD Anderson welcomes the opportunity to remain in-network for these plans, our goal is to ensure continuity of care for those in active treatments," a spokesperson for the Houston-based hospital told Becker's.

BCBS Texas drops MD Anderson from Medicare Advantage, Medicaid networks

"Blue Cross Blue Shield of Texas terminates Medicare Advantage and managed Medicaid contracts with MD Anderson Cancer Center, impacting thousands of patients. M

www.beckershospitalreview.com

 

[kgmom219]

Something screwy is going on with BCBSTX MAPD and PDP.

 

[annon123]

There was a fight between BCBS in MS several years ago (involved all everything) and U of MS Medical Center with respect to any BCBS of any kind. Coverage was terminated and it took around a year for the two of them to get to an agreement so people with BCBS under any plan - employer, MAP, etc. could use them again. In this case it was a fight over reimbursements and negotiations were stalled.

And this is why, in my opinion, it is risky to have MAP's (at least in MS) as no client can guarantee they will never need speciality care. However terminating cancer patients at MDA is a real issue as they are the number 1 cancer center in the country and while there are some other decent choices in Houston, that may not be the case elsewhere like was in MS.