Borland-Groover Clinic to drop Blue Cross & Blue Shield contract due to proposed 50% reimbursement cut: 5 things to know

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Borland-Groover Clinic, a gastroenterology provider in Palm Coast, Fla., plans to no longer be a participating provider with Blue Cross and Blue Shield, according to a Jacksonville Business Journal.

Here are five things to know.

1. The decision to cut ties with the commercial payer comes after nine months of contract negotiations.

2. Blue Cross and Blue Shield proposed reimbursement cuts of up to 50 percent on several key procedures, according to the report.

3. Accepting the proposed payment cuts would have required staffing cuts across the clinic's multiple locations, CEO Jack Groover, MD, told Jacksonville Business Journal.

4. The clinic's existing Blue Cross and Blue Shield contract expires Sept. 15.

5. After Sept. 15, Borland-Groover clinic will no longer accept new patients covered by Blue Cross and Blue Shield. Existing Blue Cross and Blue Shield patients will have the option to accept out-of-network coverage, according to the report.

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