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.


Debra Chew: Spiritual Well-Being And Surviving Breast Cancer

I don’t look good in pink – but October is pink-out month - and it is everywhere for National Breast Cancer Awareness Month.  The U.S. and world awareness of this important issue for women’s health is particularly important to me, for I am the daughter of a breast cancer survivor.  This year, as so many lined up at the World’s Fair Park for the Race for the Cure, I was ... (click for more)

Grand Opening Of Zounds Hearing Of Chattanooga Celebrated

Zounds Hearing of Chattanooga celebrated their grand opening with a ribbon cutting ceremony. on Tuesday at their new location, 1511 Gunbarrel Road, Suite 107. The Chattanooga Area Chamber of Commerce coordinated the event. (click for more)

Mayor Berke, Chattanooga Police Department, And Community Members Reach Out To Group Members To End Violence

The city of Chattanooga held a call-in on Thursday night, as part of the Violence Reduction Initiative. Dozens of law enforcement officials, community members, social service providers and clergy gathered to deliver a message to over 20 members of violent groups in Chattanooga. Family members of the probationers watched the call-in from another building. Although the call-in was ... (click for more)

Man Airlifted To Erlanger After Early Morning Crash In Bradley County

Bradley County EMS responded to an early morning crash Thursday at 7 a.m. at the intersection of Lauderdale Memorial Highway and Walker Valley Road in Charleston. Three ambulances and an EMS supervisor responded to the scene. There were three vehicles involved and one car left the roadway.   One adult man suffered serious injuries and it was determined that he needed ... (click for more)

Chairs Cost How Much?

Many times while growing up, I would go to the store with my parents. More often than not, I would see something I wanted, and ask my parents to buy it for me. More often than not, they said no. “Why?” I asked. “Son, money doesn’t grow on trees.” That’s a phrase I’m sure many of us have heard more than once over the course of our lives. However, I have since learned that they were ... (click for more)

Roy Exum: My Dear Friend Luther

One sunny morning in June years ago, the renowned radio icon Luther Masingill was on his way back to the WDEF studios on South Broad Street when he stopped for a red light and noticed a young couple in a car idling next to his familiar light blue Ford pickup. “What caught my eye was a buck-toothed boy eating a banana in the back seat,” he explained in an aside to that day’s lunchtime ... (click for more)