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UMMC officials speak after hospital announces it will drop BlueCross BlueShield of MS
from Staff Reports - NEWS
May 2, 2018 -

The University of Mississippi Medical Center has announced it will stop accepting policies from BlueCross BlueShield of Mississippi, the state's largest private insurer, citing contract dissatisfaction.

The hospital, which has locations in Jackson, Grenada and Lexington, will stop accepting policies after June 30. Officials say the hospital can no longer abide a contract in which Blue Cross makes unilateral changes that cost the hospitals money.

UMMC officials say they find this "unacceptable" and they want a different contract.

Blue Cross spokeswoman Meredith Bailess released this statement on behalf of the company:

“First and foremost, Blue Cross and Blue Shield members have nothing to worry about as we will continue to provide Network-level benefits for care received from UMMC providers and facilities. This applies to adults as well as to children who need care at Batson Children’s Hospital. We will work with our members to coordinate their care. As always, in emergency situations, members should seek care at the nearest healthcare facility, and they can trust that their care will be covered.

We have been trying for years to work with UMMC, but we have found them unresponsive to our efforts to provide fair and equitable reimbursement aligned with the current healthcare landscape and care needs of our members. While our contract has been in place with UMMC for a number of years, the payment program has continually evolved, as it has for all our Network Hospitals, to meet our customers’ needs for quality, outcomes-based care with a focus on managing cost for all. UMMC wants to be treated differently from other Network Hospitals in this regard and has continued to leave reimbursement opportunities on the table in their resistance to partner with Blue Cross & Blue Shield of Mississippi.

As always, we keep our members and their care as our top priority, and they do not need to worry about the impact of UMMC’s action on their access to care or the level of benefits provided by Blue Cross & Blue Shield of Mississippi.”

State employees and school employees covered by BlueCross will not be affected.


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