The Atlanta Journal-Constitution
State workers’ extra costs covered in insurance spat
BCBS-Piedmont talks still at impasse as of late Tuesday.
Gov. Nathan Deal said Tuesday that for at least 30 days the state would absorb the additional costs its employees with Blue Cross insurance experience from being out of network with Piedmont Healthcare providers. The move affects 600,000 people, including current state employees, retirees and their families who are eligible to use Blue Cross at a Piedmont provider.
Piedmont has said about 500,000 Blue Cross patients statewide have seen a Piedmont provider within the past year and a half.
The negotiations between the huge health insurance and care companies remained at an impasse as of Tuesday evening. Their contract for Piedmont to be in the Blue Cross Blue Shield of Georgia network ended midnight Saturday. As long as there is no renewal agreement, Blue Cross patients have no negotiated price cap when they go to Piedmont hospitals or doctors, and Blue Cross assigns higher costs such as co-pays for them.
The University System of Georgia, whose employees also have Blue Cross as a major option, also stood ready to absorb a month’s
worth of costs from the impasse.
A spokeswoman for the governor did not immediately
respond when asked whether there was an estimate of the likely cost to the state.
“Blue Cross Blue Shield of Georgia and Piedmont Healthcare must return to the negotiating table, and Blue Cross Blue Shield must honor the contractual obligations made to the state,” Deal said in a statement. “If an equitable solution is not reached, I’ve directed the Department of Community Health and the State Health Benefit Plan to explore all possible solutions to ensure our members have access to care.”
University System of Georgia Chancellor Steve Wrigley echoed the governor’s comments.
Deal’s statement said he had “directed” the two companies to return to the negotiating table.
A spokesman for Piedmont, Matt Gove, said the health care provider had heard “no substantive feedback” from Blue Cross and its parent company, Anthem Inc., since the negotiations collapsed Saturday night. He said the companies had made substantial progress over 72 hours when Blue Cross suddenly returned to an unacceptable 5-day-old offer that brought negotiations to a halt. “We agree that the patients are the priority,” Gove said.
A spokesman for Anthem and Blue Cross, Colin Manning, said over the weekend that the company was working hard to reach an agreement.
The two companies each have a website for patients, bcbsga.com/piedmont and keeppiedmont.org.