In total, 11 locations have been removed from the networks, including Methodist Le Bonheur Germantown Surgery Center. Another ASC, Wolf River Surgery Center, will be out of network effective Oct. 23.
BCBS said they have a process to review requests to cover care at Methodist or Le Bonheur as in network.
“We are negotiating with the larger Methodist system, we offered a separate contract to keep Le Bonheur in-network,” the payer told ABC 24. “And we aren’t asking for Methodist to accept lower payments for TennCare patients who are BlueCare members.”
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
