; Blue Cross Blue Shield Of Michigan To Partner With 25 Southeast Michigan Hospitals, More Than 4,700 Doctors To Provide Low-Cost Individual Health Plans
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Press Release

Blue Cross Blue Shield Of Michigan To Partner With 25 Southeast Michigan Hospitals, More Than 4,700 Doctors To Provide Low-Cost Individual Health Plans

New health plans for 2015 will offer local access to quality care for Southeast Michigan residents seeking low-cost health insurance in the individual market

January 16, 2014

DETROIT – Blue Cross Blue Shield of Michigan, four southeast Michigan hospital systems, four independent community hospitals and more than 4,700 doctors will partner in 2015 to provide low-cost insurance coverage and health care services to local residents.

The localized network – called an Exclusive Provider Organization (EPO) – is coming together following responses to a comprehensive RFP issued by Blue Cross last year to hospitals asking for participation. Physicians – totaling 4,789 on Jan. 13 – are still coming aboard. Participating hospital systems and local hospitals include:

  • Detroit Medical Center hospitals
  • Oakwood Healthcare
  • St. John Providence Health System hospitals
  • Saint Joseph Mercy Health System/CHE Trinity Health
  • Botsford Hospital
  • Garden City Hospital
  • Stonecrest Center
  • Straith Hospital for Special Surgery

“In a region where hundreds of thousands of people are without health insurance coverage, the Affordable Care Act gives insurers and providers new opportunities to work together to provide people with affordable access to coverage and care,” said Susan Barkell, BCBSM senior vice president for Health Care Value. “Local hospitals and doctors are committed to providing quality care and keeping it affordable. Blue Cross is very pleased to join with local healthcare leaders to offer a quality, localized and low-cost insurance product to meet the needs of people not covered at work.”

“Health care reform is driving significant changes in the marketplace, and consumers who are uninsured today are very price sensitive about the health plan choices they have,” said Terry Burke, BCBSM vice president for Individual Business. “Many people are willing to trade broad network access for a quality local network and a lower-cost insurance premium.”

BCBSM will utilize the localized network for an individual market product line, which will be among several product choices offered starting November 2014 for effective dates of January 1, 2015. The localized product, still to be named, will be offered both on the Health Insurance Marketplace (healthcare.gov) and off marketplace by shopping directly through BCBSM or through independent insurance agents.

“Constructing this network of high-quality, local providers is a necessary step in finalizing the pricing and benefit structure we will be filing with regulators this spring,” said Kevin Klobucar, CEO of Blue Care Network and leader of product development for BCBSM. “We are very excited that so many doctors and hospitals are committed to low-cost healthcare and are joining Blue Cross to deliver it in southeast Michigan.”

Participating hospitals include:

  • Detroit Medical Center
  • DMC – Sinai Grace
  • DMC – Rehab Institute of Michigan
  • DMC – Huron Valley Sinai
  • DMC – Children’s Hospital
  • DMC – Harper-Hutzel
  • DMC – Detroit Receiving
  • Oakwood Healthcare
  • Oakwood Heritage
  • Oakwood Southshore
  • Oakwood Annapolis
  • Oakwood Hospital and Medical Center (Main) - Dearborn
  • St. John Providence Health System
  • St. John Macomb-Oakland
  • St. John River District
  • St. John Hospital and Medical Center (Main) – Detroit
  • Providence Park Hospital – Novi
  • Providence Hospital and Medical Center
  • Saint Joseph Mercy Health System/CHE Trinity Health
  • St. Joseph Mercy – Oakland
  • St. Joseph Mercy – Ann Arbor
  • St. Joseph Mercy – Livingston
  • St. Joseph Mercy – Port Huron
  • St. Mary Mercy Hospital – Livonia
  • Chelsea Community Hospital
  • Botsford Hospital
  • Garden City Hospital
  • Stonecrest Center for Behavioral Health
  • Straith Hospital for Special Surgery

About Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. For more news and information go to bcbsm.com/news and mibluesperspectives.com.

The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for more than 105 million members – one-in-three Americans.  For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.