Updated May 20th, 2024 – It’s not unusual for insurance companies and hospitals to be at odds over the amounts paid and accepted for payment, especially in light of inflation’s impact on healthcare.
Most of the time the disputes are sorted out and that is the case with the latest dispute between CommonSpirit Health and Anthem Blue Cross Blue Shield of Colorado, who reached a new 5 year agreement in which all Anthem members with employer based coverage, individual coverage and Medicare Advantage will have access to CommonSpirit providers.
As of May 1st, most of the CommonSpirit system were temporarily no longer in-network for the 1.5 million Anthem members across Colorado. However, the new agreement was backdated to May 1st, so Anthem members will have in-network coverage for visits to those providers.
Insurance companies negotiations play a vital role in helping hold hospital system’s thirst for rate increases in check.
CommonSpirit operates 10 hospitals across Colorado, including St. Anthony’s in both metro Denver and Summit County, Longmont United, St. Francis & Penrose Hospitals in Colorado Springs, St. Mary-Corwin in Pueblo and Mercy Hospital in Durango.
Source: Denver Post Article
