Detroit-based insurance provider Blue Cross Blue Shield of Michigan has
Select patients with serious or long-term health conditions — such as individuals who are pregnant, have cancer or chronic illnesses requiring active treatment — would qualify for continuity of care if an agreement is not reached. This would allow patients to continue receiving treatment from Michigan Medicine at in-network rates for up to 90 days, as determined by BCBSM.
Negotiations have reached a standstill as neither party can agree on adequate reimbursement rates. Michigan Medicine claims the insurance provider proposed a 30% rate decrease, while BCBSM claims the hospital system asked for a 44% increase in reimbursement rates. Each party denies the other’s claims…