Community Medical Centers Contract Negotiation UpdateDecember 15, 2022
January 1, 2023
Community Medical Centers (CMC) has chosen to terminate its hospital contract with Anthem Blue Cross (Anthem), effective January 1, 2023.
Anthem and CMC have a long history of partnership, and we recognize that having in-network access to CMC facilities is important to our members and customers. That’s why we continue to work in good faith to negotiate a new agreement that helps protect affordability and continued access to care at CMC for our customers, members and families in the Central Valley.
Why is this happening?
Contract discussions are a standard part of the health care industry and sometimes coming to agreement can take time. Maintaining stability in our network of local doctors and hospitals is extremely important to us, but we are also committed to ensuring our members have access to care that is sustainable and affordable. While we appreciate hospitals are facing labor, supply and other cost pressures, the reality is that employers and families across the state, including those we serve here in the Central Valley, are facing those same pressures. Now more than ever, as consumers are facing some of the highest inflation costs in decades, we need to ensure stability and continued access to affordable local health care services. We firmly believe our care providers should be reimbursed fairly, and that has been reflected in our offers during these negotiations. We remain committed to continuing to work in good faith to negotiate a new agreement that will help protect affordability and access for our members, and we know CMC shares that commitment.
What does this mean for Anthem members?
As of January 1, 2023, Community Medical Center facilities are out-of-network for Anthem members. We will continue directing members to other in-network facilities and have taken steps and have policies in place to ensure members continue to receive the right care at the right time in the right setting.
Note that Anthem members can still utilize CMC facilities for emergency services as emergency medical care is always considered in-network no matter where the care is provided. Anyone in need of emergency care should immediately go to the nearest emergency room or call 9-1-1. Coverage will be provided according to the member’s policy benefits.
Anthem members with chronic or pre-existing medical conditions or who are going through a current course of treatment at a CMC facility may be eligible for Continuity of Care coverage. Members can check their health plan Evidence of Coverage (EOB) booklet for details on their specific plan benefits or call Anthem Blue Cross at the toll-free member services number on their ID card with any questions.
For the most up-to-date information continue to refer to this site. Anthem members who have questions or need assistance can call the toll-free member number listed on their Anthem member ID card.