Baylor Scott & White, Blue Cross Blue Shield of Texas Agree to New 4-Year In-Network Contract

Blue Cross Blue Shield of Texas and Baylor Scott & White Health reached a contract agreement this week that will keep its hospitals and clinics in-network for most of its plans for the next four years.

Plan holders for the BlueChoice PPO, Blue Essentials HMO, and Blue Premier HMO will notice nothing different when visiting the 900 care sites under the banner of the state’s largest nonprofit health system. The deal partially includes the Blue Advantage HMO, which launched in 2014 as an option for the uninsured and underinsured and is sold on the Obamacare exchanges. It will be in-network at five hospitals, although it hasn’t said which. Baylor did not provide answers to questions offered on Thursday afternoon. I’ll update when I get those. 

A health plan offered through Texas’ STAR Kids program will be accepted at hospitals in Central Texas, but not in North Texas. Blue Cross Blue Shield of Texas also agreed to further its integration in 2017 with Baylor Scott & White’s accountable care organization, the Quality Alliance.

“This new agreement ensures that BCBSTX members in our region continue to have access to the quality, patient-centered healthcare offered by Baylor Scott & White Health,” read a statement from Gary Brock, the executive vice president of Baylor Scott & White Health. “Our aim is always to provide patients with the right care, at the right time, in the right place — and by the right caregiver.”

  • Jenny Chumbley

    Did we get the actual Baylor hospitals in Blue Advantage? Hoping Tarrant and Denton get some better options…especially since BCBSTX and THR are still squabbling