Enloe Medical Center to cut ties with Anthem Blue Cross

Enloe Medical Center announced Friday it will end its contract with Anthem Blue Cross’s Medi-Cal Managed Care.

Posted: Sep 18, 2020 4:20 PM

CHICO, Calif. – Enloe Medical Center announced Friday it will end its contract with Anthem Blue Cross’s Medi-Cal Managed Care.

This means Enloe will not be able to accept insurance for individuals who have Anthem Blue Cross through Medi-Cal. Enloe representatives said they were not able to agree because Anthem planned to cut payments to the medical center.

In Butte County, approximately 22,500 people are covered by the Anthem Blue Cross Medi-Cal Managed Care plan, according to the news release.

Action News Now spoke to Enloe Medical Center CEO, Mike Wiltermood, who says they’re still willing to come back to the negotiating table.

“These plans don't pay the cost,” said Wiltermood. “They are well below the cost of service. So, hospitals and doctors typically have to subsidize these programs. So, it's important that we negotiate at least the fairest rate available knowing that these programs don't pay for the full cost of care.”

Enloe plans to let its contract with Anthem expire on Oct. 31, if they are unable to reach an agreement. Those who need services after Oct. 31, Enloe says it will help get them coverage through an alternative Medi-Cal provider called “California Health and Wellness.”

Anthem Blue Cross said in a statement, “It’s disappointing that in the midst of an ongoing pandemic, Enloe Medical Center would signal its intent to terminate its hospital contract with us. Consumers need stability and continued access to affordable health care services.

Enloe patients who have questions related to insurance and billing may contact Anthem Blue Cross directly by calling the number on their insurance card. While Enloe Medical Center is unable to make changes to patients’ insurance coverage, Enloe’s Patient Financial Services representatives can answer questions at (530) 332-6300.

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