Texas Health Resources, BCBS TX come to agreement

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SHERMAN, TX -- If you have Blue Cross Blue Shield of Texas insurance, you can still go to Wilson N Jones for medical care.

Texas Health Resources, which owns Texas Health Presbyterian WNJ, reached an agreement with Blue Cross Blue Shield of Texas.

They say multi-year agreement will allow Texas Health facilities and physicians to remain in the BCBS TX network.

That means patients with Blue Cross will be able to continue seeing their doctors and receiving care at WNJ without being forced to pay out-of-provider fees.

The release from both companies states that BCBS customers will have "uninterrupted access to Texas Health hospitals," including WNJ.

Neither company would elaborate on the details of the agreement, but both say it will benefit patients who use BCBS and the THR system.

The complete text of the release is below:



Dec. 17, 2010 (Richardson and Arlington, TX) —Blue Cross and Blue Shield of Texas (BCBSTX) and Texas Health Resources announced today that they have reached a multi-year agreement that will allow Texas Health facilities and physicians to remain in the BCBSTX network. The new contracts will provide more than 1.3 million Blue Cross members with access to in-network health care services at Texas Health’s 24 hospitals and 18 outpatient facilities in the North Texas area.

“This new contract with Blue Cross and Blue Shield of Texas represents a key component in our ability to improve the health of the people in the communities we serve, “ said Douglas D. Hawthorne, FACHE, CEO of Texas Health. “Both parties recognize our shared responsibility to make sure North Texans have convenient access to quality care while also improving patient outcomes and reducing costs in the long run. We’ve worked hard over the past several months, and it has resulted in the right agreement for our patients. We look forward to continuing to have a positive contractual relationship with Blue Cross Blue Shield and to consumers being able to continue to use their trusted physicians and preferred hospitals. Working together, we can transform health care reimbursement through innovative payment arrangements such as pay-for-performance and shared savings which can lower costs and improve quality.”

“We are pleased to have finalized an agreement with Texas Health Resources,” says Darren Rodgers, president, Blue Cross and Blue Shield of Texas. “Our number 1 priority was improving the value our members receive for health care services by striking an agreement which focuses on pay for performance. The new agreement focuses both parties on improving the long-term affordability of health care services.”

Blue Cross members will have uninterrupted access to Texas Health hospitals and physicians. The new contract includes innovative provisions that incentivize quality improvements and other pay-for-performance elements to enhance alignment among hospitals, physicians, Blue Cross, employers and patients.

About Blue Cross
Blue Cross and Blue Shield of Texas — the only statewide, customer-owned health insurer in Texas — is the largest provider of health benefits in the state, working with nearly 40,000 physicians and 400 hospitals to serve 4.6 million members in all 254 counties. Blue Cross and Blue Shield of Texas is a division of Health Care Service Corporation (HCSC), the country’s largest customer-owned health insurer and fourth largest health insurer overall. HCSC is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

About Texas Health Resources

Texas Health Resources is one of the largest faith-based, nonprofit health systems in the United States. The health system includes 24 acute care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with Texas Health Resources. It includes the Texas Health Presbyterian, Texas Health Arlington Memorial and Texas Health Harris Methodist hospitals, a large physician group, outpatient facilities, and home health, preventive and fitness services, and an organization for medical research and education.
For more information about Texas Health Resources, call 1-877-THR-WELL, or visit www.texashealth.org.

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