Fairview could leave Blue Cross network

  • Article by: CHEN MAY YEE , Star Tribune
  • Updated: July 17, 2008 - 9:40 PM

The price tussle between Minnesota's biggest health insurer and the No. 3 hospital clinic group might affect tens of thousands of patients.

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btornellJul. 17, 0810:05 PM

How did healthcare costs get so far out of control in the first place? Because they could. Providers are insulated from the wrath of the public by insurance companies. People don't have to price shop for the best deal, and they don't even have to physically write a check to pay their insurance premium, it's taken out of their paycheck before they ever see it. Amazing how a little distance from the process can work to someone else's advantage.

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mn55066Jul. 17, 0810:09 PM

Blue Cross and Fairview will battle this out, and if they don't come to a compromise, a lot of people are going to suffer, especially those in areas that are ONLY served by Fairview clinics/hospitals.

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Mister_eavesJul. 17, 0810:29 PM

Once again, the STrib brings up points to support a fact but then fails to fully research that point. The article mentions that Fairview's ask of BCBS is "completely consistent with what we are asking from other health plans." I'd be interested to know what the management at those other plans think. Could it be that Fairview has asked the same outrageous demands from everyone, but the STrib only reports on the scuffled with BCBS? A quick phone call to the other providers mentioned would shed further light, but seems that, once again, reporters at the STrib are too lazy or too unsupported by management to actually pound the pavement.

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spicebearJul. 17, 0810:51 PM

This has already happened. Grand Itasca hospital & clinics in Grand Rapids went "off-network" for Blue Cross of MN last year. I don't know of any others, but there may be more.

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spicebearJul. 17, 0810:53 PM

My oops.

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jmgg700Jul. 17, 0811:46 PM

Its time that doctors are able to treat a person cause they want to and do anything they can to make a person better not the Blue Cross networks of the world its time they butt out and let doctors be doctors and let the doctors decide what a person needs to get well.

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loveylou1947Jul. 17, 0811:52 PM

WITH ALL THE SELF INSURED COMPANIES MAKING THEIR EMPLOYEES PAY $1000.00-$1500.00 DEDUCTIBLES, I HARDLY FEEL SORRY FOR FAIRVIEW CLINICS!

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jemihamiJul. 17, 0811:59 PM

btornell, unfortunately, your logic is flawed because you are assuming that the providers are solely responsible for the drastic increase in healthcare ... and you are wrong. Minnesota's non-profit health systems are doing what they can to reduce costs, but like everything else, the cost to do business is always on the rise. Take into account the facility costs, the constant upkeep and upgrade of the equipment, the food-drug-supply costs, the staffing costs, reduced admits and the constant reduction in Medicare compensation and you'll see that these increases are more than just "because they can." The "system of care" is broken and there are no politicians willing to put themselves in middle of of healthcare reform. Well, that is until I decided to run ... in 2012. ;) ----------------------------------------------- We're comin'! we're comin'!

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jemihamiJul. 18, 0812:02 AM

"WITH ALL THE SELF INSURED COMPANIES MAKING THEIR EMPLOYEES PAY $1000.00-$1500.00 DEDUCTIBLES, I HARDLY FEEL SORRY FOR FAIRVIEW CLINICS! posted by loveylou1947 on Jul 17, 08 at 11:52 pm" Buck up, lovelylou1947! What is Fairview supposed to do ... eat the cost? Do your share and help the system help itself!

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teresainmnJul. 18, 08 4:28 AM

We had an experience that makes me almost sympathize with Blue Cross, though we are under a different plan than Blue Cross. Both my spouse and I had identical procedures done a couple months apart, mine was at Park Nicollet (Methodist)and my spouse's was at Fairview University Hospital. The amount charged to the insurance company by Fairview was THREE TIMES what Park Nicollet (Methodist) charged for my procedure, two months later. We had identical procedures, mind you. No complications. Just routine. Fairview also billed things differently, causing us to have to pay several hundred dollars out of pocket on our major medical, while mine was not billed that way at all! We learned a valuable (and expensive) lesson, and my spouse has since changed his primary care Dr to one at the other clinic. I don't blame Blue Cross for playing hardball with them after seeing what happened to us.

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