Home Health Anthem, Mercy Health conform to briefly proceed care in Ohio

Anthem, Mercy Health conform to briefly proceed care in Ohio

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Anthem, Mercy Health conform to briefly proceed care in Ohio

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Medicaid members who use Anthem Blue Cross Blue Shield for care at Bon Secours Mercy Health hospitals in Ohio, will have a 90-day transition period in which they can continue to receive care despite an expired contract.

Medicaid members who use Anthem Blue Cross Blue Shield for insurance coverage can proceed to obtain care at Bon Secours Mercy Health hospitals in Ohio underneath a 90-day transitional “understanding” between the 2 events.

A terminated contract between the 2 expired early Saturday with out renewal, however representatives from Mercy Health and Anthem each say these affected can nonetheless get care with none disruptions, for now.

Mercy Hospital in Canton is a part of the Cleveland Clinic well being system and is not affiliated with Mercy Health. An auxiliary of Mercy Health owned 30% of Akron-based Summa Health till that deal led to 2021.

“To avoid care disruption for Anthem Medicaid members in Ohio, Anthem and Mercy Health have reached an understanding to allow our Medicaid members to continue care at Mercy Health doctors and hospitals through standard out-of-network reimbursement for a transition period of no less than 90 days,” Anthem spokesman Jeff Blunt wrote in an assertion. “This means that continuing care at Mercy Health requires no special out-of-network authorization, beyond typical prior-authorization requirements, to ensure that this vulnerable population will have no disruption in care during Mercy’s exit from the Medicaid provider network.”

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