Anthem Blue Cross Blue Shield of Virginia has filed a cease and desist order against Cincinnati-based Bon Secours Mercy Health for allegedly denying access to Anthem’s Medicaid patients amid a tense reimbursement rate dispute between the organizations, ABC-affiliate WRIC reported Aug. 22.
Since Aug. 1, 11,000 Anthem Medicare Advantage members in Virginia have not had access to Bon Secours facilities, along with nearly 50,000 Anthem Medicaid beneficiaries in Ohio. Anthem’s Medicare Advantage members in Ohio and Kentucky will be out of network with a majority of Bon Secours facilities by October, Becker’s reports.
In Virginia, Bon Secours is in network with Anthem’s Medicaid plan until October as well, but the payer told WRIC there’s already been issues with Medicaid members accessing care at BSMH facilities.
A Bon Secours’ spokesperson told WRIC Anthem’s claims are “unfounded and false.” Read more.
