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TMCNet:  Anthem Blue Cross and Blue Shield and Middlesex Hospital Reach Agreement

[January 04, 2013]

Anthem Blue Cross and Blue Shield and Middlesex Hospital Reach Agreement

WALLINGFORD, Conn. & MIDDLETOWN, Conn. --(Business Wire)--

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 released.

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 in-network benefit.

"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 Connecticut

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. Also, follow us on Twitter (News - Alert) at www.twitter.com/healthjoinin, on Facebook (News - Alert) at www.facebook.com/HealthJoinIn, or visit our YouTube (News - Alert) channel at www.youtube.com/healthjoinin.

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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