Baylor Scott and White BCBS Negotiation 2024: What You Need to Know

As we head into 2024, many of us are wondering what's in store for our health insurance coverage. Baylor Scott and White BCBS negotiation is a significant event that affects thousands of people, and it's essential to stay informed.

Baylor Scott and White BCBS has announced a new contract that will take effect in 2024. This contract includes changes to out-of-network care, with a new out-of-network deductible of $5,000 for individuals and $10,000 for families.

If you're currently covered by Baylor Scott and White BCBS, you'll want to review your policy to understand how these changes will impact you.

Additional reading: Darryl White

Baylor Scott and White BCBS is negotiating a new contract agreement for 2024. The proposed changes include a 10% increase in reimbursement rates for in-network providers.

The contract agreement details will impact the network of participating providers, with an estimated 500 physicians leaving the network in 2024. This change will affect about 10% of the current network.

Reimbursement rates for out-of-network care will remain unchanged, at 150% of the Medicare rate. The new contract agreement will also introduce a new copayment structure for patients.

The proposed contract agreement includes a new tiered copayment system, with higher copayments for specialty care and lower copayments for primary care. Patients will also be required to meet a higher deductible before insurance kicks in.

The contract agreement is still under negotiation, with both parties working to reach a mutually beneficial agreement. The final details will be announced in the coming months.

Baylor Scott & White Health and Blue Cross and Blue Shield of Texas are facing a split on October 1 if they don't reach a new contract agreement by then.

Baylor Scott & White Health is the largest nonprofit health system in Texas, and Blue Cross and Blue Shield of Texas is the largest health insurer, with nearly eight million members.

Broaden your view: Cactus White

A split would affect commercial, Medicare Advantage, and managed Medicaid enrollees across all BSWH facilities, including 51 hospitals and over 800 care facilities.

BCBS Texas is working closely with BSW leadership to sign new contracts before July 1, hoping for agreements that compensate BSW fairly while being good stewards of healthcare dollars.

BSWH is also working to reach an agreement by July 1, 2024, to minimize potential disruptions and ensure in-network coverage for care with their providers and facilities.

Worth a look: Bcbs and Bsw Negotiations