One of the state’s biggest health insurance firms is telling Catholic Health Initiatives to negotiate lower prices at its Alegent Creighton Health hospitals in the Omaha area or they will stop coverage. Catholic Health Initiatives CEO Dr. Cliff Robertson says they are working toward a more efficient model of reimbursement.
“There’s so many more opportunities working in partnership with Blue Cross Blue Shield to really change how care is delivered,” according to Robertson. “We want to make it better for patients, make it more acceptable, and make it cost less at the end of the day as the total cost spent on healthcare needs to be less than it is today.”
However, Dr. Robertson says the crux of the issue is bigger than the insurance company is leading the public to believe.
“It’s about how healthcare is going to be organized and delivered going forward,” Robertson notes. “The reimbursement model that either serves as the foundation for those innovations and changes, or the old school model which obviously hasn’t worked for the last 30 years paying fee for service.”
Blue Cross says they’re confident they’ll reach agreement by the end of August. Insurance coverage is not affected at this time. Physicians in Lincoln affiliated with Catholic Health Initiatives are not affected by this contract negotiation.