HCA, Blue Cross and Blue Shield Georgia salvage contract to cover Eastside General Surgery & other facilities — 3 insights

Blue Cross and Blue Shield of Georgia and Blue Cross Blue Shield Healthcare Plan of Georgia reached a new multi-year agreement with Nashville, Tenn.-based Hospital Corporation of America, the payer announced Oct. 4. 

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1. Blue Cross Blue Shield of Georgia’s contract with Hospital Corporation of America was set to expire Oct. 1, meaning HCA’s facilities, physician groups and ancillary facilities would be considered out-of-network.

2. HCA announced it was no longer included in BCBC’s Georgia network until negotiations ended, WSAV.com reported Oct. 3.

3. Snellville, Ga.-based Eastside General Surgery and more than a dozen other Georgia physician groups are now back in the Blue Cross and Blue Shield of Georgia plan, effective Oct. 1. Patients won’t be required to pay out-of-network costs for covered services received from HCA on or after Oct. 1.

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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.

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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