BlueCross To Partner With Methodist Healthcare In January

Wednesday, August 22, 2012

BlueCross BlueShield of Tennessee will partner with Methodist Le Bonheur Healthcare in a five-year arrangement that will advance new care and payment models. The agreement goes into effect Jan. 1, 2013 and will focus on quality care, with the goal of delivering outstanding medical value in the Memphis and West Tennessee marketplace.

The new agreement with Methodist is based on three key components:

  • Methodist will replace Baptist Memorial Healthcare System as the Network S provider in the Memphis area.
    Giving members access to the region’s most comprehensive health system via BlueCross’ most cost-efficient Network S will drive savings for customers.
  • Each organization has committed significant resources toward the development of the framework for an accountable care organization (ACO) that will serve Memphians and others in the region.
  • Both Methodist and BlueCross will be financially accountable for performance-based measures meant to ensure quality and reduce costs.

“This is really a partnership of strengths in Memphis,” said Bill Gracey, CEO-elect for BlueCross. “Methodist demonstrated that they are ready to approach care in a completely different way and partner with us to focus on quality and patient outcomes. This adds the extended, long-term benefit of making us more competitive in the market, which translates to cost savings for our customers.”

“We’ve always been committed to offering the best outcomes for patients, but this new agreement means we’re all working together in innovative ways to accomplish our goals,” said Gary Shorb, president and CEO of Methodist. “The industry is shifting away from traditional payment methodologies and we’re excited to be at the forefront of this change. We believe the model we develop can set the highest quality standard and deliver outstanding outcomes for patients while still being affordable.” 

The ACO partnership with Methodist is the first for BlueCross in Tennessee. ACOs were originally conceived to link payments to outcomes for Medicare beneficiaries.

Network S is one way that BlueCross works to curb costs for members by providing a strong choice of respected doctors and facilities proven to deliver quality care at less cost. Choosing Network S as part of a benefits plan, saves employers money. Depending on plan design, employees also save money on their portion of cost.

Baptist Memorial Healthcare, the current Network S provider in Memphis, will continue to participate in this role until Dec. 31, 2012. Moving forward, Baptist will continue to serve BlueCross members through the Blue Preferred®, BlueCare? and TennCare Select networks. Additionally, BlueCross will work with both Baptist and Methodist to ensure its group customers and members have the time and information needed to make decisions about their choice of networks or where they receive care in the future.


Senate Health Committee To Hold Zika Hearing On Feb. 24 At 10 A.M.

Chairman Lamar Alexander and Ranking Member Patty Murray (D-Wash.) announced Thursday the Senate committee overseeing public health policy will hold a hearing on the Zika virus on Wednesday, Feb. 24, at 10 a.m. Chairman Alexander said: “Americans have many questions about the Zika virus, as we have watched news of its spread through Central and South America, as well as ... (click for more)

Dade County And The Arts - Dancing With Breast Cancer

In 2006, I was diagnosed with breast cancer and had bi-lateral mastectomies. Now, almost 10 years later, I look back at how dance and art transformed my life-challenging situation into beauty. With the help and support of my friend and artist Mary Petruska, I decided not to do reconstruction. From a beautiful drawing of wild passion flowers by Mary, we went to tattoo artist Skip ... (click for more)

Arrests Made In Connection With Fire At Brainerd Trophy Shop

Fire investigators Captain Moore and Captain McElvain made two arrests Friday night in connection with the fire at the Brainerd Trophy Shop that occurred  on Friday  morning. Gene Wegg and Pamela McNabb, have been arrested and charged with arson by the Chattanooga Fire Department. The two allegedly broke into the Brainerd Trophy Shop and set fire to the building, ... (click for more)

TBI Case Leads To Charges For Woman In Death Of Whitwell Boy

A joint investigation by special agents from the Tennessee Bureau of Investigation and the Whitwell Police Department has resulted in charges for a Whitwell woman in connection to the death of her boyfriend’s son. At the request of 12 th  District Attorney J. Michael Taylor, TBI apecial agents began investigating the death of six-year-old Lucas Michael Dillon on March 29, ... (click for more)

The City I Used To Know

“They Dead”, the innocent young voice said as tears began streaming from my eyes.  Foolishness that didn’t involve him snatched away his childhood in the blink of an eye.  Why?  Why has my city become known more for gangs and violence than the River Front, Lookout Mountain, and a fun little theme park?  What happened to hot summers at Lake Winnie, ... (click for more)

Roy Exum: Our Stick Of Dynamite

You may have seen the Tennessee Legislature jumped on the bandwagon to send “an atomic bomb” to Washington this week. The “bomb” makes Tennessee the fifth state to adopt a Convention of the States Project that will hopefully limit the power and the jurisdiction of federal government. The official wording is “to impose fiscal restraints on the federal government, limit the power ... (click for more)