Anthem Blue Cross Urges Stanford Health to Agree to Two-Week Extension of Hospital Contract
September 08, 2014
Stanford Health Care terminated its contract to serve Anthem Blue Cross members, effective 12:01 a.m. on Monday, Sept. 8.
Below is a statement from Anthem Blue Cross President Mark Morgan:
“It is unfortunate that Stanford Health Care has decided to terminate its contract with Anthem Blue Cross. Due to Stanford’s decision to terminate the contract, Anthem members seeking non-emergency care may be liable for chargemaster rates at Stanford and may only be eligible for coverage for non-emergency care if they have out-of-network benefits.
“Anthem requests that Stanford agree to a two-week extension of the terminated contract at existing rates so both sides can continue negotiations. Both Stanford and Anthem have agreed to the terms on the next two years of a contract, and it would be wrong to subject local residents to any disruption in their care as we conclude negotiations.”
On Feb. 28, Stanford Health Care notified Anthem Blue Cross in writing of its intention to terminate the hospital contract, effective Sept. 8, 2014. Had Stanford not taken this action, the contract would still be in effect today.
On Friday, Morgan sent a letter to Stanford Health President and CEO Amir Dan Rubin requesting that Stanford Health rescind its contract termination. Stanford Health declined to do so, leading to the current situation. (Attached.)
Anthem Blue Cross recently agreed to a contract with Lucille Packard Children’s Hospital Stanford, and that hospital is not affected.
[The following is a legally-required message regarding completion-of-covered-services/continuity-of-care:
If you have been receiving care from a health care provider, you may have a right to keep your provider for a designated time period. Please contact the Anthem Blue Cross customer service department, and if you have further questions, you are encouraged to contact the Department of Managed Health Care, which protects HMO/PPO consumers, by telephone at its toll-free number, 1-888-HMO-2219, or at a TDD number for the hearing impaired at 1-877-688-9891, or online at www.hmohelp.ca.gov.]
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