Anthem Blue Cross and Blue Shield and Middlesex Hospital announced today
that they have reached a multi-year agreement on the renewal of their
contract. As a result, Middlesex Hospital will rejoin Anthem's networks
as a participating provider immediately. Covered services provided by
the Hospital to Anthem members will resume on an in-network basis. Per
the agreement of both parties, terms of the contracts will not be
Anthem and Middlesex Hospital have worked out an arrangement so that
claims for Anthem members who received services from the Hospital during
the time the Hospital was out of network will be paid under the member's
"We are pleased our members will again have in network access to
Middlesex Hospital," said David R. Fusco, President, Anthem Blue Cross
and Blue Shield. "We are confident we have reached the right deal,
including initiatives that support our collective efforts to improve
quality and outcomes."
According to Vincent G. Capece, Jr., President & CEO of Middlesex
Hospital, "We are pleased that Middlesex Hospital has been able to come
to a multi-year agreement with Anthem Blue Cross and Blue Shield. For
years, Anthem members have chosen Middlesex Hospital as their preferred
hospital because they recognize the high-quality health care services
the Hospital provides. This new agreement will ensure that Anthem
members will continue to have access to these valuable health care
services throughout Middlesex County."
As part o the agreement, Middlesex Hospital's reimbursement continues
to be aligned with incentives designed to measure and improve health
care quality and efficiency, as well as to improve patient safety. In
addition, Anthem and Middlesex Hospital will collaborate on an
accountable care model to effectively manage the patient population
served by Middlesex Hospital and its affiliated physicians.
About Anthem Blue Cross and Blue Shield in
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health
Plans, Inc., an independent licensee of the Blue Cross Blue Shield
Association. ® ANTHEM is a registered trademark of Anthem Insurance
Companies, Inc. The Blue Cross and Blue Shield names and symbols are
registered marks of the Blue Cross and Blue Shield Association.
Additional information about Anthem Blue Cross and Blue Shield in
Connecticut is available at www.anthem.com.
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About Middlesex Hospital
Middlesex Hospital is a not-for-profit corporation that has been
nationally recognized by numerous independent health care ratings
organizations for providing safe, high-quality health care to its
patients. The Hospital is committed to demonstrating the highest
standards of service excellence in all interactions inside and outside
the Hospital community. The Hospital recognizes community benefit,
transparency and integrity as fundamental responsibilities. A primary
objective is to identify and meet community health needs to the fullest
extent possible within its ability and resources. For more information
about Middlesex Hospital, its physicians and services, go to www.middlesexhospital.org.
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