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Blue Cross Blue Shield and Southwestern Health Resources reach deal on new contract
Blue Cross Blue Shield and Southwestern Health Resources reach deal on new contract

Yahoo

time05-04-2025

  • Health
  • Yahoo

Blue Cross Blue Shield and Southwestern Health Resources reach deal on new contract

After days of uncertainty, Blue Cross Blue Shield of Texas policyholders can breathe a sigh of relief knowing that the insurer has finally reached an agreement on a new contract with Southwestern Health Resources. The companies announced the deal in statements made late in the evening on Friday, April 4. 'Blue Cross and Blue Shield of Texas has agreed to terms with Southwestern Health Resources that protect our members' access to quality care offered by (Southwestern Health Resources) providers at fair prices,' Texas' largest health insurer said in a statement sent to the Star-Telegram. Blue Cross Blue Shield of Texas insures over 10.4 million people in the state. All members who lost access to more than two dozen major hospitals in the Metroplex on Tuesday once again have in-network access to Southwestern's medical facilities, and the coverage is retroactive, Blue Cross Blue Shield said. 'Any claims processed as out-of-network on or after April 1 will be reprocessed at the in-network benefit level,' a Blue Cross spokesperson said in the statement. The agreement will last for three years, according to a spokesperson for Southwestern Health Resources. 'This means all Texas Health and UT Southwestern hospitals, facilities and employed and affiliated providers are in network,' the spokesperson said. 'Patients can keep their scheduled appointment or schedule a new one and be assured that in-network rates will apply. We are honored to continue caring for (Blue Cross Blue Shield of Texas) members as an in-network provider.' The contract restores coverage to the following Blue Cross Blue Shield plans: ParPlan Blue Choice PPO Blue Essentials Medicaid Blue Cross Medicare Advantage PPO Blue Cross Medicare Advantage HMO Blue Advantage HMO and MyBlue Health Over a dozen Blue Cross Blue Shield policyholders reached out to the Star-Telegram this week to express frustration over interruptions to treatment. Several were dealing with recent diagnoses or ongoing treatment for life-threatening illnesses such as breast and thyroid cancer. 'This should not happen to people who get insurance, so they can stay healthy,' said Melanie Perry, who has monthly oncologist appointments as part of her treatment after surgery for breast cancer. 'The greed on both sides greatly affects people's lives — I feel very helpless and scared.' Speaking with the Star-Telegram on Wednesday about the fallout of the contract expiration, Jonathan Gruber, a healthcare economist at the Massachusetts Institute of Technology, said the situation serves as an example of why the government should regulate prices in the healthcare industry. 'If we regulated prices, there wouldn't be this problem,' Gruber said.

TridentCare Joins Southwestern Health Resources Preferred Provider Network to Expand Portable Diagnostic Services to ACO Members Across North Texas
TridentCare Joins Southwestern Health Resources Preferred Provider Network to Expand Portable Diagnostic Services to ACO Members Across North Texas

Globe and Mail

time20-02-2025

  • Health
  • Globe and Mail

TridentCare Joins Southwestern Health Resources Preferred Provider Network to Expand Portable Diagnostic Services to ACO Members Across North Texas

SPARKS, MD & DALLAS, TX / ACCESS Newswire / February 20, 2025 / TridentCare, the leading provider of portable diagnostic services in the country, and Southwestern Health Resources (SWHR), the clinically integrated network formed between UT Southwestern Medical Center (UTSW) and Texas Health Resources, announced today that TridentCare is a preferred network provider of Southwestern Health Resources. As a preferred network provider, TridentCare will bring access to portable diagnostic imaging services to more than 790,000 patients across 16 counties in North Texas. Starting in January 2025, TridentCare will deliver portable X-ray and ultrasound services directly to patients of SWHR when such tests are medically necessary, offering patients the ability to receive their care in the safety, convenience, and comfort of their home, assisted living facility or skilled nursing facility. "SWHR and TridentCare share the same health management approach by ensuring patients have access to the right care at the right time and in the right setting. We are proud to be a preferred network provider with Southwestern Health Resources to increase efficiencies and achieve quality outcomes for SWHR patients across North Texas," said Dan Buning, CEO, TridentCare. About TridentCare Based in Sparks, Maryland, TridentCare is the leading provider of portable diagnostic services in the country, operating in 40 states, servicing a wide variety of patients and clients. Each day, the company deploys experienced medical professionals and leading-edge technology to provide imaging, phlebotomy, laboratory, and vascular services to tens of thousands of patients nationwide. For questions, contact us at media@ or for more information about TridentCare, please visit and follow us on LinkedIn and Instagram. About SWHR Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of more than 7,000 physicians and clinicians caring for over 790,000 patients across 16 counties in North Texas. Our primary care physicians and specialists are joined by the preeminent medical leaders of Texas Health Resources and UT Southwestern Medical Center, giving SWHR an unmatched ability to connect individuals with 360 degrees of clinical care from one holistic network. View the original press release on ACCESS Newswire

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